| Smiles Inc P C | |
|
310 Beulah Ave Tylertown MS 39667-2702 | |
| (601) 876-0860 | |
| (601) 876-0102 |
| Full Name | Smiles Inc P C |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 Beulah Ave, Tylertown, Mississippi |
| Authorized Official Name and Position | Jackie R Woods (PRESIDENT) |
| Authorized Official Contact | 6018760860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Inc P C 310 Beulah Ave Tylertown MS 39667-2702 Ph: (601) 876-0860 | Smiles Inc P C 310 Beulah Ave Tylertown MS 39667-2702 Ph: (601) 876-0860 |
| NPI Number | 1548603475 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 04/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548603475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mark Andrew Dillon, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Old Highway 98 E, Tylertown, MS 39667 Phone: 601-876-2176 |