| Picayune General Dentistry, Inc. | |
|
500 Goodyear Blvd Picayune MS 39466-3217 | |
| (601) 798-0500 | |
| (601) 799-0141 |
| Full Name | Picayune General Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Goodyear Blvd, Picayune, Mississippi |
| Authorized Official Name and Position | Horace Eugene Combs (GENERAL DENTIST) |
| Authorized Official Contact | 6017980500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picayune General Dentistry, Inc. 500 Goodyear Blvd Picayune MS 39466-3217 Ph: (601) 798-0500 | Picayune General Dentistry, Inc. 500 Goodyear Blvd Picayune MS 39466-3217 Ph: (601) 798-0500 |
| NPI Number | 1255483186 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255483186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3213-02 (Mississippi) | Primary |
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