| Ms Periodontic Specialists Group, Pllc | |
|
209 Woodline Dr. Flowood MS 39232 | |
| (601) 664-2600 | |
| (601) 664-2650 |
| Full Name | Ms Periodontic Specialists Group, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 209 Woodline Dr., Flowood, Mississippi |
| Authorized Official Name and Position | Samuel Reid Lester (OWNER) |
| Authorized Official Contact | 6016642600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Periodontic Specialists Group, Pllc 209 Woodline Dr. Flowood MS 39232 Ph: (601) 664-2600 | Ms Periodontic Specialists Group, Pllc 209 Woodline Dr. Flowood MS 39232 Ph: (601) 664-2600 |
| NPI Number | 1851640437 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851640437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 45012 (Mississippi) | Primary |
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