| Charis Family Dentistry Llc | |
|
407 Franklin St Natchez MS 39120-3263 | |
| (601) 442-5476 | |
| (601) 442-5477 |
| Full Name | Charis Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 407 Franklin St, Natchez, Mississippi |
| Authorized Official Name and Position | Cassy Smith Simpson (OWNER) |
| Authorized Official Contact | 6014425476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Family Dentistry Llc 407 Franklin St Natchez MS 39120-3263 Ph: () - | Charis Family Dentistry Llc 407 Franklin St Natchez MS 39120-3263 Ph: (601) 442-5476 |
| NPI Number | 1346627874 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346627874 | NPI | - | NPPES |
| 04383027 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | MS3519-09 (Mississippi) | Primary |
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