Bender Dental Associates | |
4550 Manhattan Rd Jackson MS 39206-6022 | |
(601) 362-0460 | |
Not Available |
Full Name | Bender Dental Associates |
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Speciality | Dentist - General Practice |
Location | 4550 Manhattan Rd, Jackson, Mississippi |
Authorized Official Name and Position | Teresa Manogin Bender (OWNER) |
Authorized Official Contact | 6013620460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bender Dental Associates 4550 Manhattan Rd Jackson MS 39206-6022 Ph: (601) 362-0460 | Bender Dental Associates 4550 Manhattan Rd Jackson MS 39206-6022 Ph: (601) 362-0460 |
NPI Number | 1003099839 |
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Provider Enumeration Date | 12/15/2007 |
Last Update Date | 08/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003099839 | NPI | - | NPPES |
01528564 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2833-94 (Mississippi) | Primary |
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