| West Main Dental | |
|
450 W Main St Raymond MS 39154-8165 | |
| (601) 857-5021 | |
| Not Available |
| Full Name | West Main Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 450 W Main St, Raymond, Mississippi |
| Authorized Official Name and Position | Madison English Smith (OWNER) |
| Authorized Official Contact | 6015595529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Main Dental Po Box 477 Raymond MS 39154-0477 Ph: (601) 559-5529 | West Main Dental 450 W Main St Raymond MS 39154-8165 Ph: (601) 857-5021 |
| NPI Number | 1730839622 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730839622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mississippi Dental Center Of Raymond Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 W Main St, Raymond, MS 39154 Phone: 601-857-5021 |