| Taylorsville Family Dental | |
|
411 Willis St Taylorsville MS 39168-4550 | |
| (601) 340-9457 | |
| Not Available |
| Full Name | Taylorsville Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 411 Willis St, Taylorsville, Mississippi |
| Authorized Official Name and Position | Kelly Miller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylorsville Family Dental 411 Willis St Taylorsville MS 39168-4550 Ph: (601) 340-9457 | Taylorsville Family Dental 411 Willis St Taylorsville MS 39168-4550 Ph: (601) 340-9457 |
| NPI Number | 1013645746 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013645746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Taylorsville Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Willis St, Taylorsville, MS 39168 Phone: 601-785-4770 Fax: 601-785-4831 |