| Robert E. Maddux Dds Inc. | |
|
2264 Mcingvale Rd Hernando MS 38632-8710 | |
| (662) 429-6736 | |
| Not Available |
| Full Name | Robert E. Maddux Dds Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2264 Mcingvale Rd, Hernando, Mississippi |
| Authorized Official Name and Position | Robert E. Maddux (PRESIDENT) |
| Authorized Official Contact | 6624296736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E. Maddux Dds Inc. 2264 Mcingvale Road Hernando MS 38632 Ph: (662) 429-6736 | Robert E. Maddux Dds Inc. 2264 Mcingvale Rd Hernando MS 38632-8710 Ph: (662) 429-6736 |
| NPI Number | 1609027325 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609027325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 270592 (Mississippi) | Primary |
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