| Crossroads Family Dentistry | |
|
705 S Choctaw St Clarksdale MS 38614-4810 | |
| (662) 627-7324 | |
| (662) 627-7758 |
| Full Name | Crossroads Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 705 S Choctaw St, Clarksdale, Mississippi |
| Authorized Official Name and Position | Matthew Joe Chow (SOLE PROPRIETOR) |
| Authorized Official Contact | 6623867886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Family Dentistry 705 S Choctaw St Clarksdale MS 38614-4810 Ph: (662) 627-7324 | Crossroads Family Dentistry 705 S Choctaw St Clarksdale MS 38614-4810 Ph: (662) 627-7324 |
| NPI Number | 1336689199 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336689199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3562-10 (Mississippi) | Primary |
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