Carroll County General Dentistry, Llc | |
613 Lexington Street Carrollton MS 38917 | |
(662) 237-4646 | |
(662) 237-4647 |
Full Name | Carroll County General Dentistry, Llc |
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Speciality | Dentist - General Practice |
Location | 613 Lexington Street, Carrollton, Mississippi |
Authorized Official Name and Position | Richard D Hill (OWNER) |
Authorized Official Contact | 6014087780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carroll County General Dentistry, Llc Po Box 35 Carrollton MS 38917-0035 Ph: (662) 237-4646 | Carroll County General Dentistry, Llc 613 Lexington Street Carrollton MS 38917 Ph: (662) 237-4646 |
NPI Number | 1912270406 |
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Provider Enumeration Date | 02/15/2012 |
Last Update Date | 09/04/2014 |
Identifier | Type | State | Issuer |
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1912270406 | NPI | - | NPPES |
08405535 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2730-93 (Mississippi) | Primary |