| Ridgeland Dental, Llc | |
|
321 Highway 51 Ste A Ridgeland MS 39157-3404 | |
| (601) 856-4420 | |
| Not Available |
| Full Name | Ridgeland Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 321 Highway 51 Ste A, Ridgeland, Mississippi |
| Authorized Official Name and Position | Mark Metcalf (OWNER) |
| Authorized Official Contact | 6018564420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeland Dental, Llc 321 Highway 51 Ste A Ridgeland MS 39157-3404 Ph: (601) 856-4420 | Ridgeland Dental, Llc 321 Highway 51 Ste A Ridgeland MS 39157-3404 Ph: (601) 856-4420 |
| NPI Number | 1730744715 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730744715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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