| Dental Clinic | |
|
1818 College Drive Reimbursement Dept. Meridian MS 39307-5429 | |
| (601) 581-7562 | |
| (601) 581-7676 |
| Full Name | Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1818 College Drive, Meridian, Mississippi |
| Authorized Official Name and Position | Charles Carlisle (HOSPITAL DIRECTOR) |
| Authorized Official Contact | 6015817878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic Po Box 4128 West Station Meridian MS 39304-4128 Ph: (601) 581-7562 | Dental Clinic 1818 College Drive Reimbursement Dept. Meridian MS 39307-5429 Ph: (601) 581-7562 |
| NPI Number | 1841490612 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841490612 | NPI | - | NPPES |
| 09422269 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31-136 (Mississippi) | Primary |
Esthetics Unlimited Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 16th St, Meridian, MS 39301 Phone: 601-483-6021 Fax: 601-483-1140 | |
North Hills Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 N Hills St, Meridian, MS 39305 Phone: 601-485-4851 Fax: 601-693-5936 | |
Ferrell Fort Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 23rd Ave, Meridian, MS 39301 Phone: 601-485-2494 | |
Shelley W. Mcdonald, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1922 23rd Ave, Meridian, MS 39301 Phone: 601-482-8986 Fax: 601-482-6100 | |
Charles E Atkins Jr, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 23rd Ave, Meridian, MS 39301 Phone: 601-483-4522 Fax: 601-485-9925 | |
Brock B. Westover Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1927 23rd Ave, Meridian, MS 39301 Phone: 601-693-3009 Fax: 601-693-3010 | |
J A Lauderdale Iii, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 16th St, Meridian, MS 39301 Phone: 601-693-4544 |