| Magnolia Orthodontics | |
|
4348 Lincoln Road Hattiesburg MS 39402 | |
| (601) 271-8710 | |
| Not Available |
| Full Name | Magnolia Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4348 Lincoln Road, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Patty Toups (OFFICE MANAGER) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Orthodontics 4348 Lincoln Road Hattiesburg MS 39402 Ph: () - | Magnolia Orthodontics 4348 Lincoln Road Hattiesburg MS 39402 Ph: (601) 271-8710 |
| NPI Number | 1114414802 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114414802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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