| Waveland Dental Center Pllc | |
|
110 Auderer Blvd Waveland MS 39576-2432 | |
| (228) 270-0044 | |
| (228) 270-0047 |
| Full Name | Waveland Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110 Auderer Blvd, Waveland, Mississippi |
| Authorized Official Name and Position | Dana Hal Jones (DENTIST) |
| Authorized Official Contact | 2282700044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waveland Dental Center Pllc 110 Auderer Blvd Waveland MS 39576-2432 Ph: (228) 270-0044 | Waveland Dental Center Pllc 110 Auderer Blvd Waveland MS 39576-2432 Ph: (228) 270-0044 |
| NPI Number | 1548559586 |
|---|---|
| Provider Enumeration Date | 03/30/2011 |
| Last Update Date | 03/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548559586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Waveland Dental Centerpllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auderer Blvd, Waveland, MS 39576 Phone: 228-270-0044 Fax: 228-270-0047 | |
Bruni Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auderer Blvd, Waveland, MS 39576 Phone: 228-270-0044 Fax: 228-270-0047 |