Riverside Dental Care Pllc | |
4400 Mcinnis Ave Moss Point MS 39563-2814 | |
(228) 475-0005 | |
(228) 475-0057 |
Full Name | Riverside Dental Care Pllc |
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Speciality | Dentist |
Location | 4400 Mcinnis Ave, Moss Point, Mississippi |
Authorized Official Name and Position | Wayne T Adkison (OWNER) |
Authorized Official Contact | 2284750005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Riverside Dental Care Pllc 4400 Mcinnis Ave Moss Point MS 39563-2814 Ph: (228) 475-0005 | Riverside Dental Care Pllc 4400 Mcinnis Ave Moss Point MS 39563-2814 Ph: (228) 475-0005 |
NPI Number | 1730551508 |
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Provider Enumeration Date | 10/20/2015 |
Last Update Date | 10/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730551508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Sonya White, D. D. S., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4014 Main St, Moss Point, MS 39563 Phone: 228-474-7645 Fax: 228-474-6406 | |
Hurley Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7305 Highway 614, Moss Point, MS 39562 Phone: 228-588-6027 Fax: 228-588-0255 |