Sky Family Dental, Llc | |
200 Meadowlane Street Eupora MS 39744 | |
(662) 744-7040 | |
(662) 744-7046 |
Full Name | Sky Family Dental, Llc |
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Speciality | Clinic/center - Dental |
Location | 200 Meadowlane Street, Eupora, Mississippi |
Authorized Official Name and Position | Dustin G. Smith (OWNER) |
Authorized Official Contact | 6012979082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sky Family Dental, Llc 200 Meadowlane Street Eupora MS 39744 Ph: (662) 744-7040 | Sky Family Dental, Llc 200 Meadowlane Street Eupora MS 39744 Ph: (662) 744-7040 |
NPI Number | 1255991196 |
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Provider Enumeration Date | 06/13/2019 |
Last Update Date | 06/13/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255991196 | NPI | - | NPPES |
00660344 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Stephen S. Wooten Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Meadowlane St, Eupora, MS 39744 Phone: 662-258-2461 |