Woodville Dental Care Llc | |
211 Highway 61 S Woodville MS 39669-3586 | |
(601) 888-3090 | |
(601) 888-3095 |
Full Name | Woodville Dental Care Llc |
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Speciality | Clinic/center - Dental |
Location | 211 Highway 61 S, Woodville, Mississippi |
Authorized Official Name and Position | Terry Meneley Devall (PRESIDENT) |
Authorized Official Contact | 6018883090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Woodville Dental Care Llc 211 Hwy 61 S Woodville MS 39669-3586 Ph: (601) 888-3090 | Woodville Dental Care Llc 211 Highway 61 S Woodville MS 39669-3586 Ph: (601) 888-3090 |
NPI Number | 1437443439 |
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Provider Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |
Identifier | Type | State | Issuer |
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1437443439 | NPI | - | NPPES |
1720276009 | Other | MS | INDIVIDUAL NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 228586 (Mississippi) | Primary |