| Newton Family Dental Clinic | |
|
211 S Main St Newton MS 39345-2612 | |
| (601) 683-6567 | |
| (601) 683-7555 |
| Full Name | Newton Family Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 211 S Main St, Newton, Mississippi |
| Authorized Official Name and Position | John B Harrison (DENTIST) |
| Authorized Official Contact | 6016836567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton Family Dental Clinic 211 S Main St Newton MS 39345-2612 Ph: (601) 683-6567 | Newton Family Dental Clinic 211 S Main St Newton MS 39345-2612 Ph: (601) 683-6567 |
| NPI Number | 1326212374 |
|---|---|
| Provider Enumeration Date | 04/21/2008 |
| Last Update Date | 04/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326212374 | NPI | - | NPPES |
| 03029511 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2179-85 (Mississippi) | Primary |
Hollingsworth Dental Clinic, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Northside Dr, Newton, MS 39345 Phone: 601-683-7878 Fax: 601-683-7272 |