Summit Family Dentistry Pllc | |
103 Laurel Street Summit MS 39666 | |
(601) 276-7915 | |
(601) 276-7929 |
Full Name | Summit Family Dentistry Pllc |
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Speciality | Clinic/center - Dental |
Location | 103 Laurel Street, Summit, Mississippi |
Authorized Official Name and Position | Donald E. Price (OWNER) |
Authorized Official Contact | 6012767915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summit Family Dentistry Pllc Po Box 789 Summit MS 39666-0789 Ph: (601) 276-7915 | Summit Family Dentistry Pllc 103 Laurel Street Summit MS 39666 Ph: (601) 276-7915 |
NPI Number | 1700051455 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
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1700051455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1766-77 (Mississippi) | Primary |