| Family Dental Care | |
|
203 Main Ave N Magee MS 39111 | |
| (601) 849-6871 | |
| (601) 849-5257 |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 203 Main Ave N, Magee, Mississippi |
| Authorized Official Name and Position | Russell H Slover (OWNER) |
| Authorized Official Contact | 6018496871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 203 Main Ave N Magee MS 39111-3535 Ph: (601) 849-6871 | Family Dental Care 203 Main Ave N Magee MS 39111 Ph: (601) 849-6871 |
| NPI Number | 1801128129 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801128129 | NPI | - | NPPES |
| 00660036 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2692-92 (Mississippi) | Primary |
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