Sardis Family Dental Care, Llc | |
207 S Pocahontas Street Sardis MS 38666 | |
(601) 790-1709 | |
Not Available |
Full Name | Sardis Family Dental Care, Llc |
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Speciality | Clinic/center - Dental |
Location | 207 S Pocahontas Street, Sardis, Mississippi |
Authorized Official Name and Position | Samantha L Allen (DENTIST) |
Authorized Official Contact | 6017901709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sardis Family Dental Care, Llc 207 S Pocahontas Street Sardis MS 38666 Ph: (601) 790-1709 | Sardis Family Dental Care, Llc 207 S Pocahontas Street Sardis MS 38666 Ph: (601) 790-1709 |
NPI Number | 1356049126 |
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Provider Enumeration Date | 02/21/2023 |
Last Update Date | 02/22/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356049126 | NPI | - | NPPES |
1350584 | Other | MS | MISSISSIPPI SECRETARY OF STATE BUSINESS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |