| Mississippi Prosthetic Dentistry, Pllc | |
|
4500 I 55 N Ste 266 Jackson MS 39211-5932 | |
| (601) 473-3578 | |
| Not Available |
| Full Name | Mississippi Prosthetic Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4500 I 55 N Ste 266, Jackson, Mississippi |
| Authorized Official Name and Position | Matthew Milner (OWNER) |
| Authorized Official Contact | 6014733578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Prosthetic Dentistry, Pllc 4500 I 55 N Ste 266 Jackson MS 39211-5932 Ph: () - | Mississippi Prosthetic Dentistry, Pllc 4500 I 55 N Ste 266 Jackson MS 39211-5932 Ph: (601) 473-3578 |
| NPI Number | 1871168567 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 06/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871168567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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