Metro Dental Inc | |
1836 Crane Ridge Dr Jackson MS 39216-4901 | |
(601) 862-2752 | |
Not Available |
Full Name | Metro Dental Inc |
---|---|
Speciality | Dentist |
Location | 1836 Crane Ridge Dr, Jackson, Mississippi |
Authorized Official Name and Position | Jim Polles (OWNER) |
Authorized Official Contact | 6018622752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Metro Dental Inc 1836 Crane Ridge Dr Jackson MS 39216-4901 Ph: (601) 862-2752 | Metro Dental Inc 1836 Crane Ridge Dr Jackson MS 39216-4901 Ph: (601) 862-2752 |
NPI Number | 1720390693 |
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Provider Enumeration Date | 07/08/2010 |
Last Update Date | 07/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720390693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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