| Gene Baines, D.m.d. | |
|
509 Highway 82 W Greenwood MS 38930-5053 | |
| (662) 455-3192 | |
| (662) 455-3170 |
| Full Name | Gene Baines, D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 509 Highway 82 W, Greenwood, Mississippi |
| Authorized Official Name and Position | Gene M Baines (OWNER) |
| Authorized Official Contact | 6624553192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Baines, D.m.d. 509 Highway 82 W Greenwood MS 38930-5053 Ph: (662) 455-3192 | Gene Baines, D.m.d. 509 Highway 82 W Greenwood MS 38930-5053 Ph: (662) 455-3192 |
| NPI Number | 1407107063 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407107063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | MS1905-80 (Mississippi) | Primary |
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