| Davis Dental Clinic | |
|
365 Crossgates Blvd Brandon MS 39042-2602 | |
| (601) 825-2411 | |
| (601) 825-2419 |
| Full Name | Davis Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 365 Crossgates Blvd, Brandon, Mississippi |
| Authorized Official Name and Position | John William Davis (MANAGER) |
| Authorized Official Contact | 6018252411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Dental Clinic 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 | Davis Dental Clinic 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 |
| NPI Number | 1073607008 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073607008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1828-79 (Mississippi) | Primary |
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