| Mathis Dental, Llc | |
|
1013 W Jackson St Tupelo MS 38804-1907 | |
| (662) 823-7900 | |
| Not Available |
| Full Name | Mathis Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1013 W Jackson St, Tupelo, Mississippi |
| Authorized Official Name and Position | John Thomas Mathis (OWNER) |
| Authorized Official Contact | 6628237900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathis Dental, Llc 1013 W Jackson St Tupelo MS 38804-1907 Ph: (662) 823-7900 | Mathis Dental, Llc 1013 W Jackson St Tupelo MS 38804-1907 Ph: (662) 823-7900 |
| NPI Number | 1922703644 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922703644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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