| Zimmerman Family Dentistry Acquisition, Pllc | |
|
1213 Broad Ave Gulfport MS 39501-2475 | |
| (228) 863-5171 | |
| (228) 863-5233 |
| Full Name | Zimmerman Family Dentistry Acquisition, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1213 Broad Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Lorie L Kinsey (FRONT DESK MANAGER) |
| Authorized Official Contact | 2288635171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zimmerman Family Dentistry Acquisition, Pllc 1213 Broad Ave Gulfport MS 39501-2475 Ph: (228) 863-5171 | Zimmerman Family Dentistry Acquisition, Pllc 1213 Broad Ave Gulfport MS 39501-2475 Ph: (228) 863-5171 |
| NPI Number | 1538949755 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538949755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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