| Northeast Dental | |
|
865 Pear Orchard Road Ridgeland MS 39157 | |
| (601) 956-4007 | |
| (601) 956-2901 |
| Full Name | Northeast Dental |
|---|---|
| Speciality | Dentist |
| Location | 865 Pear Orchard Road, Ridgeland, Mississippi |
| Authorized Official Name and Position | C. David West (CO-OWNER) |
| Authorized Official Contact | 6019564007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental 865 Pear Orchard Road Ridgeland MS 39157 Ph: (601) 956-4007 | Northeast Dental 865 Pear Orchard Road Ridgeland MS 39157 Ph: (601) 956-4007 |
| NPI Number | 1750574695 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 08/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750574695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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