| Delta Orthodontic Specialists Llc | |
|
2356 Grove Street Vicksburg MS 39183-2857 | |
| (601) 638-8230 | |
| (601) 636-3388 |
| Full Name | Delta Orthodontic Specialists Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2356 Grove Street, Vicksburg, Mississippi |
| Authorized Official Name and Position | Edward V Brown (OWNER/DENTIST) |
| Authorized Official Contact | 6016363388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Orthodontic Specialists Llc 2356 Grove Street Vicksburg MS 39183-2857 Ph: (601) 638-8230 | Delta Orthodontic Specialists Llc 2356 Grove Street Vicksburg MS 39183-2857 Ph: (601) 638-8230 |
| NPI Number | 1174275762 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 10/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174275762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Janet S Fisher Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Mission 66, Vicksburg, MS 39183 Phone: 601-636-5321 Fax: 601-883-2366 | |
Southern Oral And Maxillofacial Surgery Center, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-661-0034 Fax: 601-661-0367 | |
Jackson Hinds Comprehensive Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Oak St, Vicksburg, MS 39180 Phone: 601-629-9500 Fax: 601-638-9044 | |
Margo R Marveggio Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Mission 66, Vicksburg, MS 39183 Phone: 601-636-6081 | |
Vicksburg Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Mission 66, Vicksburg, MS 39183 Phone: 601-636-5321 Fax: 601-883-2366 | |
Robert A. Sadler Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 Mission 66, Vicksburg, MS 39183 Phone: 601-638-3661 |