Dental Care Of Flora, Pllc | |
4853 Main St. Flora MS 39071 | |
(601) 879-0031 | |
(601) 879-0091 |
Full Name | Dental Care Of Flora, Pllc |
---|---|
Speciality | Dentist |
Location | 4853 Main St., Flora, Mississippi |
Authorized Official Name and Position | Brad Anthony Franklin (OWNER) |
Authorized Official Contact | 6018790031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Care Of Flora, Pllc Po Box 126 Flora MS 39071-0126 Ph: (601) 879-0031 | Dental Care Of Flora, Pllc 4853 Main St. Flora MS 39071 Ph: (601) 879-0031 |
NPI Number | 1902001761 |
---|---|
Provider Enumeration Date | 06/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902001761 | NPI | - | NPPES |
1528042801 | Other | MS | MY PERSONAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3294-04 (Mississippi) | Primary |