| Lifetime Dental Pllc | |
|
1313 W Highway 8 Cleveland MS 38732-2240 | |
| (662) 843-8353 | |
| (662) 843-8363 |
| Full Name | Lifetime Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1313 W Highway 8, Cleveland, Mississippi |
| Authorized Official Name and Position | Hamilton M Brown (PARTNER) |
| Authorized Official Contact | 6628438353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Pllc 1313 W Highway 8 Cleveland MS 38732-2240 Ph: (662) 843-8353 | Lifetime Dental Pllc 1313 W Highway 8 Cleveland MS 38732-2240 Ph: (662) 843-8353 |
| NPI Number | 1053573725 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053573725 | NPI | - | NPPES |
| 09015931 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2826-94 (Mississippi) | Primary |
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