| Zimmerman Family Dental Dentistry Acquisition Pass Christian Pllc | |
|
13165 Vidalia Rd Pass Christian MS 39571-9162 | |
| (228) 255-4355 | |
| (228) 255-6761 |
| Full Name | Zimmerman Family Dental Dentistry Acquisition Pass Christian Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13165 Vidalia Rd, Pass Christian, Mississippi |
| Authorized Official Name and Position | Lorie Kinsey (FRONT DESK MANAGER) |
| Authorized Official Contact | 2288604537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zimmerman Family Dental Dentistry Acquisition Pass Christian Pllc 13165 Vidalia Rd Pass Christian MS 39571-9162 Ph: (228) 255-4355 | Zimmerman Family Dental Dentistry Acquisition Pass Christian Pllc 13165 Vidalia Rd Pass Christian MS 39571-9162 Ph: (228) 255-4355 |
| NPI Number | 1710727771 |
|---|---|
| Provider Enumeration Date | 05/28/2024 |
| Last Update Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710727771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mississippi Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Second St, Pass Christian, MS 39571 Phone: 228-254-1212 Fax: 228-254-1213 | |
Zimmerman Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13165 Vidalia Rd, Pass Christian, MS 39571 Phone: 228-255-4355 Fax: 228-255-6761 |