| David J.conner D.d.s. | |
|
17215 Hwy 26 Lucedale MS 39452 | |
| (601) 947-4828 | |
| (601) 947-4829 |
| Full Name | David J.conner D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 17215 Hwy 26, Lucedale, Mississippi |
| Authorized Official Name and Position | David J Conner (OWNER/PRESIDENT) |
| Authorized Official Contact | 6019474828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J.conner D.d.s. Po Box 707 Lucedale MS 39452-0707 Ph: (601) 947-4828 | David J.conner D.d.s. 17215 Hwy 26 Lucedale MS 39452 Ph: (601) 947-4828 |
| NPI Number | 1780827543 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780827543 | NPI | - | NPPES |
| 03306702 | Medicaid | MS | |
| 07288757 | Medicaid | MS |
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