| Nettleton Dental Llc | |
|
228 Main St Nettleton MS 38858-6012 | |
| (662) 963-7338 | |
| Not Available |
| Full Name | Nettleton Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 228 Main St, Nettleton, Mississippi |
| Authorized Official Name and Position | Ambrie Goodman (DENTIST) |
| Authorized Official Contact | 6625718760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nettleton Dental Llc 228 Main St Nettleton MS 38858-6012 Ph: (662) 963-7338 | Nettleton Dental Llc 228 Main St Nettleton MS 38858-6012 Ph: (662) 963-7338 |
| NPI Number | 1780303677 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780303677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Thames Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Main Street, Box 388, Nettleton, MS 38858 Phone: 662-963-7338 Fax: 662-963-7339 |