| Louie V Harrison Iii Dmd Pllc | |
|
412 Tyler Holmes Dr Winona MS 38967-1522 | |
| (662) 283-4722 | |
| (662) 283-2588 |
| Full Name | Louie V Harrison Iii Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 412 Tyler Holmes Dr, Winona, Mississippi |
| Authorized Official Name and Position | Louie Vardiman Harrison (OWNER) |
| Authorized Official Contact | 6622834722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louie V Harrison Iii Dmd Pllc Po Box 761 Winona MS 38967-0761 Ph: (662) 283-4722 | Louie V Harrison Iii Dmd Pllc 412 Tyler Holmes Dr Winona MS 38967-1522 Ph: (662) 283-4722 |
| NPI Number | 1689747917 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689747917 | NPI | - | NPPES |
| 2278-86 | Other | MS | DENTAL LICENSE # |
| 00060241 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2278-86 (Mississippi) | Primary |
Abraham Dental Winona, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Tyler Holmes Dr, Winona, MS 38967 Phone: 662-283-4722 | |
Mary Catherine Hoover, Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Summit St, Winona, MS 38967 Phone: 662-283-5916 Fax: 662-283-3889 |