Ross Dental Clinic P.c. | |
233 Woodland St Morton MS 39117-3711 | |
(601) 732-6200 | |
(601) 732-6624 |
Full Name | Ross Dental Clinic P.c. |
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Speciality | Dentist - General Practice |
Location | 233 Woodland St, Morton, Mississippi |
Authorized Official Name and Position | Jamie Eichelberger Ross (PRESIDENT) |
Authorized Official Contact | 6017326200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ross Dental Clinic P.c. 233 Woodland St P.o. Box 19 Morton MS 39117-3711 Ph: (601) 732-6200 | Ross Dental Clinic P.c. 233 Woodland St Morton MS 39117-3711 Ph: (601) 732-6200 |
NPI Number | 1316153588 |
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Provider Enumeration Date | 05/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316153588 | NPI | - | NPPES |
00660051 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2747-93 (Mississippi) | Primary |