Hometown Family Dental Llc | |
1024 Spring St Wesson MS 39191 | |
(601) 714-2278 | |
Not Available |
Full Name | Hometown Family Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 1024 Spring St, Wesson, Mississippi |
Authorized Official Name and Position | Marissa W Smith (OWNER/DENTIST) |
Authorized Official Contact | 6017486699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hometown Family Dental Llc Po Box 873 Wesson MS 39191-0873 Ph: () - | Hometown Family Dental Llc 1024 Spring St Wesson MS 39191 Ph: (601) 714-2278 |
NPI Number | 1619694387 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 10/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619694387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |