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Grants Ferry Family Dentistry
Dental Clinic/Center in Brandon, Mississippi
NPI 1265779052

Grants Ferry Family Dentistry is a Dental Clinic/Center based in Brandon, MS and is specialized in Dental. Grants Ferry Family Dentistry practices in Brandon, MS. The NPI Number for Grants Ferry Family Dentistry is 1265779052 and holds a License No. 3276-03 (Mississippi).

The current practice location address for Grants Ferry Family Dentistry is 1075 Lake Village Cir, Brandon, MS and can be reached out via phone at 601-992-1605 and via fax at 601-992-9534.

Location: 1075 Lake Village Cir, Brandon, MS, 39047-6743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265779052
Provider Name
Grants Ferry Family Dentistry
Credential
Provider Entity Type
Organization
Address
1075 Lake Village Cir, Brandon, MS, 39047-6743
Phone Number
601-992-1605
Fax Number
601-992-9534
Provider Enumeration Date
01/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1075 Lake Village Cir
City
Brandon
State
Mississippi
Zip
39047-6743
Phone Number
601-992-1605
Fax Number
601-992-9534
person
Provider Business Mailing Address Details
Address
1075 Lake Village Cir
City
Brandon
State
Mississippi
Zip
39047-6743
Phone Number
601-992-1605
Fax Number
601-992-9534
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3276-03 (Mississippi)
Definition
Definition to come...
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