| Paul Family Dentistry, Inc. | |
|
410 N Jerry Clower Blvd Yazoo City MS 39194-8274 | |
| (662) 746-3491 | |
| (662) 746-3946 |
| Full Name | Paul Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 410 N Jerry Clower Blvd, Yazoo City, Mississippi |
| Authorized Official Name and Position | Tracy Paul (OWNER) |
| Authorized Official Contact | 6627463491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Family Dentistry, Inc. 410 N Jerry Clower Blvd Yazoo City MS 39194-8274 Ph: (662) 746-3491 | Paul Family Dentistry, Inc. 410 N Jerry Clower Blvd Yazoo City MS 39194-8274 Ph: (662) 746-3491 |
| NPI Number | 1760807994 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760807994 | NPI | - | NPPES |
| 04271891 | Medicaid | MS | |
| 07223267 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3846 (Mississippi) | Primary |
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