| Bew Enterprises, Inc. | |
|
105 N Brooks St Pelahatchie MS 39145-3091 | |
| (601) 854-5001 | |
| (601) 854-6198 |
| Full Name | Bew Enterprises, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 N Brooks St, Pelahatchie, Mississippi |
| Authorized Official Name and Position | Bradley Emmett Williams (OWNER) |
| Authorized Official Contact | 6018545001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bew Enterprises, Inc. 105 N Brooks St Pelahatchie MS 39145-3091 Ph: (601) 854-5001 | Bew Enterprises, Inc. 105 N Brooks St Pelahatchie MS 39145-3091 Ph: (601) 854-5001 |
| NPI Number | 1548401227 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 03/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548401227 | NPI | - | NPPES |
| 00660353 | Medicaid | MS | |
| 00060471 | Medicaid | MS | |
| 04400322 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 269896 (Mississippi) | Primary |
Mississippi Dental Center Of Pelahatchie Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Second St, Pelahatchie, MS 39145 Phone: 601-854-7478 | |
East Rankin Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Second St, Pelahatchie, MS 39145 Phone: 601-854-7478 Fax: 601-854-7437 | |
Friends Of Mississippi Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Brooks Ave, Pelahatchie, MS 39145 Phone: 601-854-5001 |