| Forest Dental Practice Pllc | |
|
Po Drawer 30 Forest MS 39074 | |
| (601) 469-3851 | |
| (601) 469-4356 |
| Full Name | Forest Dental Practice Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Po Drawer 30, Forest, Mississippi |
| Authorized Official Name and Position | John B Smith (OWNER) |
| Authorized Official Contact | 6014693851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Dental Practice Pllc Po Box 30 Forest MS 39074-0030 Ph: (601) 469-3851 | Forest Dental Practice Pllc Po Drawer 30 Forest MS 39074 Ph: (601) 469-3851 |
| NPI Number | 1861542433 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861542433 | NPI | - | NPPES |
| 09015012 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 09015012 (Mississippi) | Primary |
Forest Metro Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1237 Highway 35 S, Forest, MS 39074 Phone: 601-469-8266 Fax: 601-469-8294 | |
John B. Smith, Jr. Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Highway 35 South, Drawer 30, Forest, MS 39074 Phone: 601-469-3851 Fax: 601-469-4356 | |
Forest Dental Practice Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Highway 35 S, Forest, MS 39074 Phone: 601-469-3851 | |
Reynolds Dental Practice Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 W Third St, Forest, MS 39074 Phone: 601-469-4881 Fax: 601-469-3436 |