| Dr Scott Dickinson D.m. D. Pc | |
|
3999 N Gloster Street Tupelo MS 38804 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Dr Scott Dickinson D.m. D. Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3999 N Gloster Street, Tupelo, Mississippi |
| Authorized Official Name and Position | Scott C Dickinson (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Dickinson D.m. D. Pc 281 Sanders Creek Pkwy East Syracuse NY 13057-1307 Ph: (315) 454-6000 | Dr Scott Dickinson D.m. D. Pc 3999 N Gloster Street Tupelo MS 38804 Ph: (315) 454-6000 |
| NPI Number | 1790235919 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790235919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3846-16 (Mississippi) | Primary |
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