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Decatur Dental, Llc
Dental Clinic/Center in Decatur, Mississippi
NPI 1073985925

Decatur Dental, Llc is a Dental Clinic/Center based in Jackson, MS and is specialized in Dental. Decatur Dental, Llc practices in Decatur, MS. The NPI Number for Decatur Dental, Llc is 1073985925 and holds a License No. 3402-06 (Mississippi).

The current practice location address for Decatur Dental, Llc is 68 Fourth Ave, Decatur, MS and can be reached out via phone at 601-635-2340.

Location: 68 Fourth Ave, Decatur, MS, 39216-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073985925
Provider Name
Decatur Dental, Llc
Credential
Provider Entity Type
Organization
Address
68 Fourth Ave, Decatur, MS, 39216-4901
Phone Number
601-635-2340
Fax Number
Provider Enumeration Date
10/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
68 Fourth Ave
City
Decatur
State
Mississippi
Zip
39327-9713
Phone Number
601-635-2340
Fax Number
person
Provider Business Mailing Address Details
Address
68 Fourth Ave
City
Decatur
State
Mississippi
Zip
39327-9713
Phone Number
601-635-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3402-06 (Mississippi)
Definition
Definition to come...
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