| Magnolia Family Dental, Pllc | |
|
215 Magnolia St Magnolia MS 39652-2827 | |
| (601) 783-2361 | |
| Not Available |
| Full Name | Magnolia Family Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 Magnolia St, Magnolia, Mississippi |
| Authorized Official Name and Position | Terry L. Garner (OWNER) |
| Authorized Official Contact | 6017832361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dental, Pllc 4358 Lincoln Road Ext Ste 20 Hattiesburg MS 39402-3275 Ph: (601) 271-8710 | Magnolia Family Dental, Pllc 215 Magnolia St Magnolia MS 39652-2827 Ph: (601) 783-2361 |
| NPI Number | 1053865329 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 08/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053865329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Mississippi) | Primary |
Bryan B. Martin, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 N Clark Ave, Magnolia, MS 39652 Phone: 601-783-2606 Fax: 601-783-0572 |