| 730 New Albany Professional Pllc | |
|
730 Coulter Dr New Albany MS 38652-2807 | |
| (662) 534-4397 | |
| (662) 534-6599 |
| Full Name | 730 New Albany Professional Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 Coulter Dr, New Albany, Mississippi |
| Authorized Official Name and Position | Peter Grumbos (OWNER) |
| Authorized Official Contact | 6625344397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 730 New Albany Professional Pllc 730 Coulter Dr New Albany MS 38652-2807 Ph: (662) 534-4397 | 730 New Albany Professional Pllc 730 Coulter Dr New Albany MS 38652-2807 Ph: (662) 534-4397 |
| NPI Number | 1740994219 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740994219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Rossetti Dental Association, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Camp Ave, New Albany, MS 38652 Phone: 662-534-5826 Fax: 662-534-7218 | |
New Albany Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Starlyn Ave, New Albany, MS 38652 Phone: 662-534-5252 Fax: 662-534-5052 | |
730 New Albany Professional Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 Coulter Dr, New Albany, MS 38652 Phone: 662-534-4397 Fax: 662-534-6599 | |
Rowan Family Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Coulter Dr, New Albany, MS 38652 Phone: 662-534-4397 Fax: 662-534-6599 |