| Donald G. Traxler, D.m.d., P.a. | |
|
303a S Archusa Ave Quitman MS 39355-2325 | |
| (601) 776-6630 | |
| (601) 776-3825 |
| Full Name | Donald G. Traxler, D.m.d., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303a S Archusa Ave, Quitman, Mississippi |
| Authorized Official Name and Position | Donald G Traxler (PRESIDENT) |
| Authorized Official Contact | 6017766630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald G. Traxler, D.m.d., P.a. 303a S Archusa Ave P. O. Box 159 Quitman MS 39355-2325 Ph: (601) 776-6630 | Donald G. Traxler, D.m.d., P.a. 303a S Archusa Ave Quitman MS 39355-2325 Ph: (601) 776-6630 |
| NPI Number | 1578626966 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578626966 | NPI | - | NPPES |
| 00660382 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 185679 (Mississippi) | Primary |
Archusa Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Highway 511, Quitman, MS 39355 Phone: 601-776-3700 | |
Quitman Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Donald St, Quitman, MS 39355 Phone: 601-776-2511 Fax: 601-776-8993 | |
Heritage Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 S Archusa Ave # A, Quitman, MS 39355 Phone: 601-776-6630 | |
Michael W Hubbert Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Highway 511, Quitman, MS 39355 Phone: 601-776-3370 Fax: 601-776-3373 |