| Raeline K. Mcintyre, Dmd, P.c. | |
|
505 Cowan Rd Gulfport MS 39507-2024 | |
| (228) 539-5410 | |
| (228) 539-0265 |
| Full Name | Raeline K. Mcintyre, Dmd, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 505 Cowan Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Raeline K. Mcintyre (OWNER) |
| Authorized Official Contact | 2285395410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raeline K. Mcintyre, Dmd, P.c. 505 Cowan Rd Gulfport MS 39507-2024 Ph: (228) 539-5410 | Raeline K. Mcintyre, Dmd, P.c. 505 Cowan Rd Gulfport MS 39507-2024 Ph: (228) 539-5410 |
| NPI Number | 1134552623 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134552623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3205-01 (Mississippi) | Primary |
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