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Autumn Ridge Dental Partnership
General Practice Dentistry in Kosciusko, Mississippi
NPI 1275750531

Autumn Ridge Dental Partnership is a General Practice Dentistry based in Kosciusko, MS and is specialized in General Practice. Autumn Ridge Dental Partnership practices in Kosciusko, MS. The NPI Number for Autumn Ridge Dental Partnership is 1275750531 and holds a License No. 1686-75 (Mississippi).

The current practice location address for Autumn Ridge Dental Partnership is 101 Ridgewood Cir, Kosciusko, MS and can be reached out via phone at 662-289-7076 and via fax at 662-289-7050.

Location: 101 Ridgewood Cir, Kosciusko, MS, 39090-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275750531
Provider Name
Autumn Ridge Dental Partnership
Credential
Provider Entity Type
Organization
Address
101 Ridgewood Cir, Kosciusko, MS, 39090-3265
Phone Number
662-289-7076
Fax Number
662-289-7050
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09014559 05 MS
institution
Provider Business Practice Location Address Details
Address
101 Ridgewood Cir
City
Kosciusko
State
Mississippi
Zip
39090-3265
Phone Number
662-289-7076
Fax Number
662-289-7050
person
Provider Business Mailing Address Details
Address
101 Ridgewood Cir
City
Kosciusko
State
Mississippi
Zip
39090-3265
Phone Number
662-289-7076
Fax Number
662-289-7050
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1686-75 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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