| Jeffrey M. Niolet, D.m.d. | |
|
300 E Railroad St Long Beach MS 39560-4722 | |
| (228) 864-8711 | |
| (228) 864-3765 |
| Full Name | Jeffrey M. Niolet, D.m.d. |
|---|---|
| Speciality | Dentist |
| Location | 300 E Railroad St, Long Beach, Mississippi |
| Authorized Official Name and Position | Joannie Davis (FRONT OFFICE) |
| Authorized Official Contact | 2288648711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M. Niolet, D.m.d. 300 E Railroad St Long Beach MS 39560-4722 Ph: (228) 864-8711 | Jeffrey M. Niolet, D.m.d. 300 E Railroad St Long Beach MS 39560-4722 Ph: (228) 864-8711 |
| NPI Number | 1184892184 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 02/13/2008 |
| Medicare PECOS PAC ID | 9739567090 |
|---|---|
| Medicare Enrollment ID | O20220528000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184892184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 314400 (Mississippi) | Primary |
| Provider Name | Jeffrey Michael Niolet |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245332303 PECOS PAC ID: 8325337181 Enrollment ID: I20220528000056 |
Exceptional Dental Of Long Beach, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Beatline Rd Ste 800, Long Beach, MS 39560 Phone: 228-250-0350 | |
Farley Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Railroad St, Long Beach, MS 39560 Phone: 228-214-3650 |