| Lefleur Dental Group | |
|
1437 Old Square Rd # Stu105 Jackson MS 39211-5535 | |
| (601) 956-2000 | |
| Not Available |
| Full Name | Lefleur Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1437 Old Square Rd # Stu105, Jackson, Mississippi |
| Authorized Official Name and Position | William C. Mayfield (PRESIDENT) |
| Authorized Official Contact | 6012914127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lefleur Dental Group 4036 Oakridge Dr Jackson MS 39216-3413 Ph: () - | Lefleur Dental Group 1437 Old Square Rd # Stu105 Jackson MS 39211-5535 Ph: (601) 956-2000 |
| NPI Number | 1801531116 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801531116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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