| Petal Family Dentistry | |
|
139 S Main St Petal MS 39465-2331 | |
| (601) 584-9481 | |
| (601) 544-5161 |
| Full Name | Petal Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 139 S Main St, Petal, Mississippi |
| Authorized Official Name and Position | Charles J Harrell (PARTNER/DENTIST) |
| Authorized Official Contact | 6015849481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petal Family Dentistry 139 S Main St Petal MS 39465-2331 Ph: (601) 584-9481 | Petal Family Dentistry 139 S Main St Petal MS 39465-2331 Ph: (601) 584-9481 |
| NPI Number | 1972908622 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972908622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Terrace Hill Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1126 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 601-264-5756 Fax: 601-264-6200 | |
Magnolia Smiles Of Petal Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 160-170, Petal, MS 39465 Phone: 601-735-5086 | |
Leaf River Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 601-271-8710 |