| Garner Nichols Dental Pllc | |
|
4127 Lincoln Road Hattiesburg MS 39402 | |
| (012) 717-3006 | |
| Not Available |
| Full Name | Garner Nichols Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4127 Lincoln Road, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Patty B Toups (ADMINISTRATOR) |
| Authorized Official Contact | 6012717300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garner Nichols Dental Pllc 4127 Lincoln Road Hattiesburg MS 39402 Ph: (601) 271-7300 | Garner Nichols Dental Pllc 4127 Lincoln Road Hattiesburg MS 39402 Ph: (012) 717-3006 |
| NPI Number | 1508267691 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508267691 | NPI | - | NPPES |
| 04436509 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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