| Pearl River Dental, Pllc | |
|
209 Riverwind East Dr Pearl MS 39208 | |
| (601) 936-6161 | |
| (601) 936-6163 |
| Full Name | Pearl River Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 209 Riverwind East Dr, Pearl, Mississippi |
| Authorized Official Name and Position | Patty Toups (CEO) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl River Dental, Pllc 209 Riverwind East Dr Pearl MS 39208 Ph: (601) 936-6161 | Pearl River Dental, Pllc 209 Riverwind East Dr Pearl MS 39208 Ph: (601) 936-6161 |
| NPI Number | 1417366725 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417366725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2940-96 (Mississippi) | Primary |
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