| Gulf Coast Periodontics & Implants Llc | |
|
11280 E Taylor Rd Gulfport MS 39503-4038 | |
| (228) 868-9615 | |
| Not Available |
| Full Name | Gulf Coast Periodontics & Implants Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11280 E Taylor Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Caesar Sweidan (SOLE MANAGER) |
| Authorized Official Contact | 2288689615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Periodontics & Implants Llc 5024 Keystone Blvd Ste A Covington LA 70433-7517 Ph: (985) 778-0241 | Gulf Coast Periodontics & Implants Llc 11280 E Taylor Rd Gulfport MS 39503-4038 Ph: (228) 868-9615 |
| NPI Number | 1730759374 |
|---|---|
| Provider Enumeration Date | 06/27/2021 |
| Last Update Date | 06/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730759374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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