| Dental Care Of Richland | |
|
1055 Highway 49 S Ste C Richland MS 39218-7517 | |
| (601) 664-6655 | |
| (601) 664-7224 |
| Full Name | Dental Care Of Richland |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1055 Highway 49 S Ste C, Richland, Mississippi |
| Authorized Official Name and Position | Lynn B Copeland (DENTIST/OWNER) |
| Authorized Official Contact | 6016646655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Richland 1055 Highway 49 S Ste C Richland MS 39218-7517 Ph: (601) 664-6655 | Dental Care Of Richland 1055 Highway 49 S Ste C Richland MS 39218-7517 Ph: (601) 664-6655 |
| NPI Number | 1780855361 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780855361 | NPI | - | NPPES |
| 08836308 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3124-00 (Mississippi) | Primary |
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Hilary Gaddis Craddock, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W Harper St, Richland, MS 39218 Phone: 601-932-5100 | |
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Dental Care Of Richland Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Highway 49 S Ste C, Richland, MS 39218 Phone: 601-664-6655 |