| Healthy Smiles Family Dentistry | |
|
13179 Three Rivers Rd Gulfport MS 39503-4944 | |
| (228) 697-3010 | |
| Not Available |
| Full Name | Healthy Smiles Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13179 Three Rivers Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Kinyatta Shauntel Bennett (MANAGER) |
| Authorized Official Contact | 2286973010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Smiles Family Dentistry 14346 Lakewood Cv Gulfport MS 39503-5048 Ph: (228) 697-3010 | Healthy Smiles Family Dentistry 13179 Three Rivers Rd Gulfport MS 39503-4944 Ph: (228) 697-3010 |
| NPI Number | 1427456144 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427456144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 356410 (Mississippi) | Primary |
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