Escatawpa Family Dentistry, Llc | |
8016 Highway 613 Escatawpa MS 39552 | |
(228) 474-1314 | |
Not Available |
Full Name | Escatawpa Family Dentistry, Llc |
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Speciality | Dentist - General Practice |
Location | 8016 Highway 613, Escatawpa, Mississippi |
Authorized Official Name and Position | Jeremy Parker (OWNER) |
Authorized Official Contact | 2283920509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Escatawpa Family Dentistry, Llc 8016 Highway 613 Moss Point MS 39562-8200 Ph: (228) 474-1314 | Escatawpa Family Dentistry, Llc 8016 Highway 613 Escatawpa MS 39552 Ph: (228) 474-1314 |
NPI Number | 1134601156 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 09/06/2018 |
Identifier | Type | State | Issuer |
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1134601156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Mississippi) | Primary |