| Big River Dental Pllc | |
|
103 Christian Dr Brandon MS 39042-2762 | |
| (601) 825-1172 | |
| (601) 825-1185 |
| Full Name | Big River Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 Christian Dr, Brandon, Mississippi |
| Authorized Official Name and Position | William Percy Dickey (OWNER/PARTNER) |
| Authorized Official Contact | 6015973490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big River Dental Pllc 103 Christian Dr Brandon MS 39042-2762 Ph: (601) 825-1172 | Big River Dental Pllc 103 Christian Dr Brandon MS 39042-2762 Ph: (601) 825-1172 |
| NPI Number | 1194262709 |
|---|---|
| Provider Enumeration Date | 01/21/2017 |
| Last Update Date | 01/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194262709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3125-00 (Mississippi) | Primary |
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