| Crosby Dental Group | |
|
406 Briarwood Dr Suite 401 Jackson MS 39206-3039 | |
| (601) 956-2000 | |
| (601) 956-8046 |
| Full Name | Crosby Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 406 Briarwood Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Mickey Eugene Crosby (PRESIDENT) |
| Authorized Official Contact | 6019562000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosby Dental Group 406 Briarwood Dr Suite 401 Jackson MS 39206-3039 Ph: (601) 956-2000 | Crosby Dental Group 406 Briarwood Dr Suite 401 Jackson MS 39206-3039 Ph: (601) 956-2000 |
| NPI Number | 1164694675 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164694675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 247989 (Mississippi) | Primary |
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Lloyd B. Wolfe, Jr., D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Briarwood Dr Ste 102, Jackson, MS 39206 Phone: 601-957-9200 Fax: 601-957-2060 | |
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