Clayton Family Dentistry, Pllc | |
209 S Main St Pontotoc MS 38863-3319 | |
(662) 586-2311 | |
Not Available |
Full Name | Clayton Family Dentistry, Pllc |
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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 |
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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 |
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Provider Enumeration Date | 12/27/2023 |
Last Update Date | 12/27/2023 |
Identifier | Type | State | Issuer |
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1336918754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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