Market Street Family Dental | |
203 S Market St Charleston MS 38921-2236 | |
(662) 647-8442 | |
(662) 647-3559 |
Full Name | Market Street Family Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 203 S Market St, Charleston, Mississippi |
Authorized Official Name and Position | Kyle R Wiggins (PRESIDENT/OWNER) |
Authorized Official Contact | 6626478442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Market Street Family Dental 203 S Market St Charleston MS 38921-2236 Ph: (662) 647-8442 | Market Street Family Dental 203 S Market St Charleston MS 38921-2236 Ph: (662) 647-8442 |
NPI Number | 1518487230 |
---|---|
Provider Enumeration Date | 06/23/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518487230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 387116 (Mississippi) | Primary |