| Stone Dental Clinic | |
|
134 Critz St N Wiggins MS 39577-3216 | |
| (601) 928-7901 | |
| (601) 928-2373 |
| Full Name | Stone Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 134 Critz St N, Wiggins, Mississippi |
| Authorized Official Name and Position | Rebecca C Courntey (DOCTOR) |
| Authorized Official Contact | 6019287901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Dental Clinic 134 Critz St N Wiggins MS 39577-3216 Ph: (601) 928-7901 | Stone Dental Clinic 134 Critz St N Wiggins MS 39577-3216 Ph: (601) 928-7901 |
| NPI Number | 1831268374 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 04/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831268374 | NPI | - | NPPES |
| 00060560 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1357-69 (Mississippi) | Primary |
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