| Devereux And Nguyen Llc | |
|
6420 Highway 11 Suite C Carriere MS 39426-7145 | |
| (601) 799-3120 | |
| (601) 251-0006 |
| Full Name | Devereux And Nguyen Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6420 Highway 11, Carriere, Mississippi |
| Authorized Official Name and Position | Jack P Devereux (OWNER AND ORTHODONTIST) |
| Authorized Official Contact | 6017993120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devereux And Nguyen Llc 6420 Highway 11 Suite C Carriere MS 39426-7145 Ph: (601) 799-3120 | Devereux And Nguyen Llc 6420 Highway 11 Suite C Carriere MS 39426-7145 Ph: (601) 799-3120 |
| NPI Number | 1093927220 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093927220 | NPI | - | NPPES |
| 04183242 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2971 (Mississippi) | Primary |
Penley Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6480 Highway 11 N, Carriere, MS 39426 Phone: 601-749-9330 Fax: 601-749-9449 | |
Lambert Dental Pc Dr James Lambert Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6480 Hwy 11 North, Carriere, MS 39426 Phone: 601-749-9330 Fax: 601-749-9449 | |
Gregory Goggans, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6420 Highway 11 N Ste C, Carriere, MS 39426 Phone: 601-799-3120 |