| Exceptional Dental Of Long Beach, Llc | |
|
5107 Beatline Rd Ste 800 Long Beach MS 39560-3879 | |
| (228) 250-0350 | |
| Not Available |
| Full Name | Exceptional Dental Of Long Beach, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5107 Beatline Rd Ste 800, Long Beach, Mississippi |
| Authorized Official Name and Position | Samantha Coats (INSURANCE CREDENTIALING MANAGER) |
| Authorized Official Contact | 5046092599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Long Beach, Llc 1 Galleria Blvd Ste 1518 Metairie LA 70001-2082 Ph: (504) 609-2599 | Exceptional Dental Of Long Beach, Llc 5107 Beatline Rd Ste 800 Long Beach MS 39560-3879 Ph: (228) 250-0350 |
| NPI Number | 1700544871 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700544871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Jeffrey M. Niolet, D.m.d. Dental Clinic Medicare: Medicare Enrolled Practice Location: 300 E Railroad St, Long Beach, MS 39560 Phone: 228-864-8711 Fax: 228-864-3765 | |
Farley Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Railroad St, Long Beach, MS 39560 Phone: 228-214-3650 |