Dental Professionals Of Mississippi, P.c. | |
1716 Highway 51 Ste G Madison MS 39110-5020 | |
(601) 790-9245 | |
Not Available |
Full Name | Dental Professionals Of Mississippi, P.c. |
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Speciality | Dentist - General Practice |
Location | 1716 Highway 51 Ste G, Madison, Mississippi |
Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175408946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Professionals Of Mississippi, P.c. 1716 Highway 51 Ste G Madison MS 39110-5020 Ph: () - | Dental Professionals Of Mississippi, P.c. 1716 Highway 51 Ste G Madison MS 39110-5020 Ph: (601) 790-9245 |
NPI Number | 1851086052 |
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Provider Enumeration Date | 04/05/2023 |
Last Update Date | 04/05/2023 |
Identifier | Type | State | Issuer |
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1851086052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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