| Magnolia Family Dentistry | |
|
513 W Commerce St Aberdeen MS 39730-2543 | |
| (601) 540-8057 | |
| Not Available |
| Full Name | Magnolia Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 513 W Commerce St, Aberdeen, Mississippi |
| Authorized Official Name and Position | Mark Fitzhugh Breland (MANAGER) |
| Authorized Official Contact | 6015408057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Family Dentistry 513 W Commerce St Aberdeen MS 39730-2543 Ph: (662) 369-2063 | Magnolia Family Dentistry 513 W Commerce St Aberdeen MS 39730-2543 Ph: (601) 540-8057 |
| NPI Number | 1356717714 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356717714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3592-11 (Mississippi) | Primary |
Roger A. Wright, D. M. D., Dental Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 W Commerce St, Aberdeen, MS 39730 Phone: 662-369-2063 Fax: 662-369-2076 | |
Magnolia Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 W Commerce St, Aberdeen, MS 39730 Phone: 662-369-2063 Fax: 662-369-2076 |