| Brookhaven Smile Center, Inc | |
|
1381 Johnny Johnson Dr Brookhaven MS 39601-9641 | |
| (601) 823-2990 | |
| (601) 823-2991 |
| Full Name | Brookhaven Smile Center, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1381 Johnny Johnson Dr, Brookhaven, Mississippi |
| Authorized Official Name and Position | Jeremy Drew King (PRESIDENT) |
| Authorized Official Contact | 6018232990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Smile Center, Inc 1381 Johnny Johnson Dr Brookhaven MS 39601-9641 Ph: (601) 823-2990 | Brookhaven Smile Center, Inc 1381 Johnny Johnson Dr Brookhaven MS 39601-9641 Ph: (601) 823-2990 |
| NPI Number | 1922203306 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922203306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 339006 (Mississippi) | Primary |
Ole Brook Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Jackson St, Brookhaven, MS 39601 Phone: 601-833-6113 | |
Dr Daniel J Patti D.m.d., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 439 North Jackson St., Suite E, Brookhaven, MS 39601 Phone: 601-833-0777 Fax: 601-833-6606 | |
Brookway Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-3200 Fax: 601-823-3216 |