| Mayatte Family Dentistry, Llc | |
|
22 Eastgate Dr Brandon MS 39042-2318 | |
| (601) 825-1105 | |
| (601) 825-1984 |
| Full Name | Mayatte Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22 Eastgate Dr, Brandon, Mississippi |
| Authorized Official Name and Position | E. Shaun Mayatte (OWNER) |
| Authorized Official Contact | 6018251105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayatte Family Dentistry, Llc 22 Eastgate Dr Brandon MS 39042-2318 Ph: (601) 825-1105 | Mayatte Family Dentistry, Llc 22 Eastgate Dr Brandon MS 39042-2318 Ph: (601) 825-1105 |
| NPI Number | 1316154776 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316154776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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