| Margo R Marveggio Dmd Pa | |
|
1011 Mission 66 Vicksburg MS 39183-2753 | |
| (601) 636-6081 | |
| Not Available |
| Full Name | Margo R Marveggio Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1011 Mission 66, Vicksburg, Mississippi |
| Authorized Official Name and Position | Kathy Emerson (OFFICE MANAGER) |
| Authorized Official Contact | 6016366081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Margo R Marveggio Dmd Pa 1011 Mission 66 Vicksburg MS 39183-2753 Ph: (601) 636-6081 | Margo R Marveggio Dmd Pa 1011 Mission 66 Vicksburg MS 39183-2753 Ph: (601) 636-6081 |
| NPI Number | 1225202062 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225202062 | NPI | - | NPPES |
| 05900018 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2624-91 (Mississippi) | Primary |
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