| Collier Dental | |
|
29 Maggie Dr Pontotoc MS 38863-9600 | |
| (662) 488-9905 | |
| Not Available |
| Full Name | Collier Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29 Maggie Dr, Pontotoc, Mississippi |
| Authorized Official Name and Position | Patty Toups (CEO) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Dental 4358 Lincoln Road Ext Ste 20 Hattiesburg MS 39402-3275 Ph: () - | Collier Dental 29 Maggie Dr Pontotoc MS 38863-9600 Ph: (662) 488-9905 |
| NPI Number | 1164941936 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164941936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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