Mitchell Dental Clinic, Inc. | |
59 Frontage Rd N Macon MS 39341-2372 | |
(662) 285-6828 | |
(668) 285-6896 |
Full Name | Mitchell Dental Clinic, Inc. |
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Speciality | Dentist - General Practice |
Location | 59 Frontage Rd N, Macon, Mississippi |
Authorized Official Name and Position | John David Mitchell (OWNER CEO) |
Authorized Official Contact | 6627264344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mitchell Dental Clinic, Inc. 59 Frontage Rd N Macon MS 39341-2372 Ph: (662) 285-6828 | Mitchell Dental Clinic, Inc. 59 Frontage Rd N Macon MS 39341-2372 Ph: (662) 285-6828 |
NPI Number | 1497981658 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 09/16/2020 |
Identifier | Type | State | Issuer |
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1497981658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2685-92 (Mississippi) | Primary |