| East Rankin Family Dental | |
|
501 Second St Pelahatchie MS 39145-2786 | |
| (601) 854-7478 | |
| (601) 854-7437 |
| Full Name | East Rankin Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 Second St, Pelahatchie, Mississippi |
| Authorized Official Name and Position | Chandler Pleasant (OWNER) |
| Authorized Official Contact | 6016726371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Rankin Family Dental 410 Laural Ct Madison MS 39110-7095 Ph: (601) 672-6371 | East Rankin Family Dental 501 Second St Pelahatchie MS 39145-2786 Ph: (601) 854-7478 |
| NPI Number | 1699211516 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699211516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3654-12 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 3660-12 (Mississippi) | Secondary |
Mississippi Dental Center Of Pelahatchie Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Second St, Pelahatchie, MS 39145 Phone: 601-854-7478 | |
Bew Enterprises, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Brooks St, Pelahatchie, MS 39145 Phone: 601-854-5001 Fax: 601-854-6198 | |
Friends Of Mississippi Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Brooks Ave, Pelahatchie, MS 39145 Phone: 601-854-5001 |