| Ellis & Morgan Family Dentistry | |
|
1008 Mission Park Dr Vicksburg MS 39180-3735 | |
| (601) 629-4100 | |
| (601) 629-4101 |
| Full Name | Ellis & Morgan Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1008 Mission Park Dr, Vicksburg, Mississippi |
| Authorized Official Name and Position | Kaitlyn E Morgan (OWNER/DENTIST) |
| Authorized Official Contact | 6016294100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis & Morgan Family Dentistry 1008 Mission Park Dr Vicksburg MS 39180-3735 Ph: (601) 629-4100 | Ellis & Morgan Family Dentistry 1008 Mission Park Dr Vicksburg MS 39180-3735 Ph: (601) 629-4100 |
| NPI Number | 1972056240 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972056240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3872-16 (Mississippi) | Primary |
Janet S Fisher Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Mission 66, Vicksburg, MS 39183 Phone: 601-636-5321 Fax: 601-883-2366 | |
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Margo R Marveggio Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Mission 66, Vicksburg, MS 39183 Phone: 601-636-6081 | |
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