| Family Dental Care | |
|
501 Park Ave Indianola MS 38751 | |
| (662) 887-1272 | |
| Not Available |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Park Ave, Indianola, Mississippi |
| Authorized Official Name and Position | Jodi Page (INSURANCE BILLING) |
| Authorized Official Contact | 6628871272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Po Box 972 Indianola MS 38751-0972 Ph: (662) 887-1272 | Family Dental Care 501 Park Ave Indianola MS 38751 Ph: (662) 887-1272 |
| NPI Number | 1679063176 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679063176 | NPI | - | NPPES |
| 1477073278 | Other | NPI | |
| 00660041 | Medicaid | MS | |
| 07535056 | Medicaid | MS | |
| 1417048182 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 273893 (Mississippi) | Primary |
| 261QD0000X | Clinic/center - Dental | 392117 (Mississippi) | Secondary |
Jenkins Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Highway 82 E, Indianola, MS 38751 Phone: 662-887-3426 Fax: 662-887-3698 | |
Julia R. Hill, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W. Gresham St., Indianola, MS 38751 Phone: 662-887-1133 Fax: 662-887-4487 |