| One Smile Dental Group | |
|
152 Highway 15 N Pontotoc MS 38863-1913 | |
| (662) 534-4397 | |
| Not Available |
| Full Name | One Smile Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 152 Highway 15 N, Pontotoc, Mississippi |
| Authorized Official Name and Position | David Kevin Rowan (OWNER) |
| Authorized Official Contact | 6625344397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Smile Dental Group 717 Coulter Dr New Albany MS 38652-2808 Ph: () - | One Smile Dental Group 152 Highway 15 N Pontotoc MS 38863-1913 Ph: (662) 534-4397 |
| NPI Number | 1790144210 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790144210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2885-95 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 3737-14 (Mississippi) | Secondary |
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