| Family Dental Associates Pllc | |
|
702 Highway 82 W Ste A Greenwood MS 38930-5069 | |
| (662) 453-5536 | |
| (662) 453-2324 |
| Full Name | Family Dental Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 702 Highway 82 W Ste A, Greenwood, Mississippi |
| Authorized Official Name and Position | Perry M Whites (SHARE HOLDER) |
| Authorized Official Contact | 6624535536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Associates Pllc 702 Highway 82 W Ste A Greenwood MS 38930-5069 Ph: (662) 453-5536 | Family Dental Associates Pllc 702 Highway 82 W Ste A Greenwood MS 38930-5069 Ph: (662) 453-5536 |
| NPI Number | 1205986809 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205986809 | NPI | - | NPPES |
| 00060236 | Medicaid | MS | |
| 00884251 | Medicaid | MS | |
| 01255511 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 230286 (Mississippi) | Primary |
Gene Baines, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Highway 82 W, Greenwood, MS 38930 Phone: 662-455-3192 Fax: 662-455-3170 | |
Moses Oral And Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Park Ave, Greenwood, MS 38930 Phone: 662-219-0044 | |
Dr. Todd Fincher P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 E Market St, Greenwood, MS 38930 Phone: 662-453-1708 | |
Lifetime Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Medallion Dr, Greenwood, MS 38930 Phone: 662-843-8353 Fax: 662-843-8363 | |
Adam Weems D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Strong Ave, Suite A, Greenwood, MS 38930 Phone: 662-453-6243 |