Golden Triangle Periodontal Center | |
2900 Bluecutt Rd Suite 3 Columbus MS 39705-1470 | |
(662) 329-2696 | |
Not Available |
Full Name | Golden Triangle Periodontal Center |
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Speciality | Dentist - Periodontics |
Location | 2900 Bluecutt Rd, Columbus, Mississippi |
Authorized Official Name and Position | John W Starr (PERIODONTIST) |
Authorized Official Contact | 6623292696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Golden Triangle Periodontal Center 2900 Bluecutt Rd Suite 3 Columbus MS 39705-1470 Ph: (662) 329-2696 | Golden Triangle Periodontal Center 2900 Bluecutt Rd Suite 3 Columbus MS 39705-1470 Ph: (662) 329-2696 |
NPI Number | 1114055167 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1114055167 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | PER154-88 (Mississippi) | Primary |
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