Zimmerman Family Dentistry | |
13165 Vidalia Rd Pass Christian MS 39571-9162 | |
(228) 255-4355 | |
(228) 255-6761 |
Full Name | Zimmerman Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 13165 Vidalia Rd, Pass Christian, Mississippi |
Authorized Official Name and Position | Emmett Lawrence Zimmerman (PRESIDENT/OWNER) |
Authorized Official Contact | 2282554355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Zimmerman Family Dentistry 13165 Vidalia Rd Pass Christian MS 39571-9162 Ph: (228) 255-4355 | Zimmerman Family Dentistry 13165 Vidalia Rd Pass Christian MS 39571-9162 Ph: (228) 255-4355 |
NPI Number | 1780811828 |
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Provider Enumeration Date | 06/16/2009 |
Last Update Date | 06/16/2009 |
Identifier | Type | State | Issuer |
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1780811828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 3387-06 (Mississippi) | 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 Dental Dentistry Acquisition Pass Christian Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13165 Vidalia Rd, Pass Christian, MS 39571 Phone: 228-255-4355 Fax: 228-255-6761 |