| Oak Circle Center Dental | |
|
3550 Hwy 468 West Whitfield MS 39193-0157 | |
| (601) 351-8000 | |
| (601) 351-8586 |
| Full Name | Oak Circle Center Dental |
|---|---|
| Speciality | Dentist |
| Location | 3550 Hwy 468 West, Whitfield, Mississippi |
| Authorized Official Name and Position | James G Chastain (DIRECTOR) |
| Authorized Official Contact | 6013518000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Circle Center Dental P.o. Box 1 Fiscal Services 3550 Hwy 468 West Whitfield MS 39193-0157 Ph: (601) 351-8000 | Oak Circle Center Dental 3550 Hwy 468 West Whitfield MS 39193-0157 Ph: (601) 351-8000 |
| NPI Number | 1568557320 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568557320 | NPI | - | NPPES |
| 09014445 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 31-320 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 31-320 (Mississippi) | Secondary |
Hrc Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 475 South, Whitfield, MS 39193 Phone: 601-664-6000 Fax: 601-354-6945 |