| Dr Daniel J Patti D.m.d., Pa | |
|
439 North Jackson St. Suite E Brookhaven MS 39601-2912 | |
| (601) 833-0777 | |
| (601) 833-6606 |
| Full Name | Dr Daniel J Patti D.m.d., Pa |
|---|---|
| Speciality | Dentist |
| Location | 439 North Jackson St., Brookhaven, Mississippi |
| Authorized Official Name and Position | Daniel J Patti (OWNER) |
| Authorized Official Contact | 6018330777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel J Patti D.m.d., Pa 439 North Jackson St. Suite E Brookhaven MS 39601-2912 Ph: (601) 833-0777 | Dr Daniel J Patti D.m.d., Pa 439 North Jackson St. Suite E Brookhaven MS 39601-2912 Ph: (601) 833-0777 |
| NPI Number | 1205138708 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205138708 | NPI | - | NPPES |
| 07831757 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Ole Brook Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 S Jackson St, Brookhaven, MS 39601 Phone: 601-833-6113 | |
Brookway Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-3200 Fax: 601-823-3216 | |
Brookhaven Smile Center, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1381 Johnny Johnson Dr, Brookhaven, MS 39601 Phone: 601-823-2990 Fax: 601-823-2991 |