| Clayton Family Dentistry, Pllc | |
|
209 S Main St Pontotoc MS 38863-3319 | |
| (662) 586-2311 | |
| Not Available |
| Full Name | Clayton Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 209 S Main St, Pontotoc, Mississippi |
| Authorized Official Name and Position | Matthew Carter Clayton (OWNER) |
| Authorized Official Contact | 6628713814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Family Dentistry, Pllc 209 S Main St Pontotoc MS 38863-3319 Ph: (662) 586-2311 | Clayton Family Dentistry, Pllc 209 S Main St Pontotoc MS 38863-3319 Ph: (662) 586-2311 |
| NPI Number | 1336918754 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336918754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |