| Endodontic Associates, Pllc | |
|
301 Northlake Ave Suite 111 Ridgeland MS 39157-1718 | |
| (601) 856-6364 | |
| (601) 856-7545 |
| Full Name | Endodontic Associates, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 301 Northlake Ave, Ridgeland, Mississippi |
| Authorized Official Name and Position | Jeffery Brian Pride (OWNER) |
| Authorized Official Contact | 6018566364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates, Pllc 301 Northlake Ave Suite 111 Ridgeland MS 39157-1718 Ph: (601) 856-6364 | Endodontic Associates, Pllc 301 Northlake Ave Suite 111 Ridgeland MS 39157-1718 Ph: (601) 856-6364 |
| NPI Number | 1619005972 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619005972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | ENDO 23993 (Mississippi) | Primary |
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