| Picayune Dental Clinic | |
|
200 Norwood St Picayune MS 39466-3933 | |
| (601) 798-8207 | |
| Not Available |
| Full Name | Picayune Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Norwood St, Picayune, Mississippi |
| Authorized Official Name and Position | Kim Zuber (CRED SUP) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picayune Dental Clinic 200 Norwood St Picayune MS 39466-3933 Ph: (601) 798-8207 | Picayune Dental Clinic 200 Norwood St Picayune MS 39466-3933 Ph: (601) 798-8207 |
| NPI Number | 1598131294 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598131294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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