| Taylorsville Dental Care | |
|
411 Willis St Taylorsville MS 39168 | |
| (601) 785-4770 | |
| (601) 785-4831 |
| Full Name | Taylorsville Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 411 Willis St, Taylorsville, Mississippi |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylorsville Dental Care 411 Willis Street Taylorsville MS 39168-0559 Ph: (601) 785-4770 | Taylorsville Dental Care 411 Willis St Taylorsville MS 39168 Ph: (601) 785-4770 |
| NPI Number | 1205011608 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205011608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MS133268 (Mississippi) | Primary |
Taylorsville Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Willis St, Taylorsville, MS 39168 Phone: 601-340-9457 |