| Mint Dental | |
|
190 Riverwind Dr Ste 201 Pearl MS 39208-3387 | |
| (601) 882-5600 | |
| (601) 882-5601 |
| Full Name | Mint Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 190 Riverwind Dr Ste 201, Pearl, Mississippi |
| Authorized Official Name and Position | Antoinette Liles (OWNER/OPERATING DENTIST) |
| Authorized Official Contact | 6018825600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Dental 190 Riverwind Dr Ste 201 Pearl MS 39208-3387 Ph: (601) 882-5600 | Mint Dental 190 Riverwind Dr Ste 201 Pearl MS 39208-3387 Ph: (601) 882-5600 |
| NPI Number | 1427641950 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427641950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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