Chickasaw Dental Group L. L. C. | |
327 N Jackson St Houston MS 38851 | |
(662) 456-9992 | |
(662) 456-9093 |
Full Name | Chickasaw Dental Group L. L. C. |
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Speciality | Dentist |
Location | 327 N Jackson St, Houston, Mississippi |
Authorized Official Name and Position | Teena Freeman Horn (DENTIST OWNER) |
Authorized Official Contact | 6624569992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chickasaw Dental Group L. L. C. Po Box 604 Houston MS 38851 Ph: (662) 456-9992 | Chickasaw Dental Group L. L. C. 327 N Jackson St Houston MS 38851 Ph: (662) 456-9992 |
NPI Number | 1134212038 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 12/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134212038 | NPI | - | NPPES |
09016032 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |