| Keep On Smiling Pediatric And General Dentistry Pllc | |
|
3451 Goodman Rd E Ste 122 Southaven MS 38672-9302 | |
| (662) 892-8535 | |
| (662) 420-7317 |
| Full Name | Keep On Smiling Pediatric And General Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3451 Goodman Rd E Ste 122, Southaven, Mississippi |
| Authorized Official Name and Position | Tameka Knight (ASSOCIATE) |
| Authorized Official Contact | 2515644365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keep On Smiling Pediatric And General Dentistry Pllc 3451 Goodman Rd E Ste 122 Southaven MS 38672-9302 Ph: (662) 892-8535 | Keep On Smiling Pediatric And General Dentistry Pllc 3451 Goodman Rd E Ste 122 Southaven MS 38672-9302 Ph: (662) 892-8535 |
| NPI Number | 1104511823 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104511823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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