| James D. Neaves Dds Pa | |
|
207 N Huntington St Kosciusko MS 39090-3351 | |
| (662) 289-2771 | |
| (662) 289-2771 |
| Full Name | James D. Neaves Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 N Huntington St, Kosciusko, Mississippi |
| Authorized Official Name and Position | James David Neaves (OWNER) |
| Authorized Official Contact | 6622892771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James D. Neaves Dds Pa 207 N Huntington St Kosciusko MS 39090-3351 Ph: (662) 289-2771 | James D. Neaves Dds Pa 207 N Huntington St Kosciusko MS 39090-3351 Ph: (662) 289-2771 |
| NPI Number | 1669523924 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669523924 | NPI | - | NPPES |
| 00061903 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1465-71 (Mississippi) | Primary |
Autumn Ridge Dental Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Ridgewood Cir, Kosciusko, MS 39090 Phone: 662-289-7076 Fax: 662-289-7050 |