| Dreamteam Family Dentistry | |
|
6760 Goodman Rd Olive Branch MS 38654 | |
| (662) 895-3000 | |
| (662) 895-3021 |
| Full Name | Dreamteam Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6760 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Janita Alexander Siffrard (DENTIST/OWNER) |
| Authorized Official Contact | 6628953000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dreamteam Family Dentistry 6760 Goodman Rd Olive Branch MS 38654 Ph: (662) 895-3000 | Dreamteam Family Dentistry 6760 Goodman Rd Olive Branch MS 38654 Ph: (662) 895-3000 |
| NPI Number | 1417351289 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417351289 | NPI | - | NPPES |
| 09523504 | Medicaid | MS | |
| 09822823 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 348908 (Mississippi) | Primary |
| 122300000X | Dentist | 3686-13 (Mississippi) | Secondary |
Thames Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9035 E Sandidge Rd, Suite 100, Olive Branch, MS 38654 Phone: 662-895-7338 Fax: 662-895-7040 | |
Elite Practice Management Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7185 Crape Myrtle Dr, Olive Branch, MS 38654 Phone: 662-314-3585 Fax: 662-346-5438 | |
Goodman Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7271 Goodman Rd, Olive Branch, MS 38654 Phone: 662-895-4737 | |
Goodman Road Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7271 Goodman Rd, Olive Branch, MS 38654 Phone: 662-895-4737 Fax: 662-893-3239 | |
Dream Team Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6760 Goodman Rd, Olive Branch, MS 38654 Phone: 662-470-4621 Fax: 662-470-4621 | |
Stephanie Harding, Dds Of Mississippi Ii, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 Phone: 662-635-8480 | |
Bradley M Stewart Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6855 Crumpler Blvd Ste 100, Olive Branch, MS 38654 Phone: 901-262-0217 |