| Pascagoula Family Dentistry, Llc | |
|
3613-a Hospital Rd Pascagoula MS 39581 | |
| (228) 769-1244 | |
| Not Available |
| Full Name | Pascagoula Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3613-a Hospital Rd, Pascagoula, Mississippi |
| Authorized Official Name and Position | Bobby Glenn Braswell (OWNER) |
| Authorized Official Contact | 6015849481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pascagoula Family Dentistry, Llc 139 S Main St Petal MS 39465-2331 Ph: () - | Pascagoula Family Dentistry, Llc 3613-a Hospital Rd Pascagoula MS 39581 Ph: (228) 769-1244 |
| NPI Number | 1750050159 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750050159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Luis Valdivia Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Denny Ave Ste 1, Pascagoula, MS 39581 Phone: 228-471-3970 | |
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Healthy Smiles Pascagoula Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3804 Hospital St, Pascagoula, MS 39581 Phone: 228-696-2611 Fax: 228-696-2675 | |
Park Dental Group - Pascagoula Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Denny Ave Ste 1, Pascagoula, MS 39581 Phone: 228-471-3970 | |
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