| Urgent Care Dental Center P.a. | |
|
2104 Hardy St Hattisburg MS 39401 | |
| (601) 583-4004 | |
| (501) 583-4005 |
| Full Name | Urgent Care Dental Center P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2104 Hardy St, Hattisburg, Mississippi |
| Authorized Official Name and Position | Stacy Joyce Friend (OFFICE MANAGER) |
| Authorized Official Contact | 6015834004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Dental Center P.a. P.o. Box 15068 Hattiesburg MS 39404-5068 Ph: (601) 583-4004 | Urgent Care Dental Center P.a. 2104 Hardy St Hattisburg MS 39401 Ph: (601) 583-4004 |
| NPI Number | 1851441570 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 11/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851441570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2366-87 (Mississippi) | Primary |
Dixon Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Parkway Blvd, Dixon Family Dentistry, Hattisburg, MS 39401 Phone: 601-583-6613 Fax: 601-583-9832 |