institution
Poplarville Dental Clinic
Dental Clinic/Center in Poplarville, Mississippi
NPI 1306142674

Poplarville Dental Clinic is a Dental Clinic/Center based in Poplarville, MS and is specialized in Dental. Poplarville Dental Clinic practices in Poplarville, MS. The NPI Number for Poplarville Dental Clinic is 1306142674 and holds a License No. 3142-00 (Mississippi).

The current practice location address for Poplarville Dental Clinic is 1718 South Main Street, Poplarville, MS and can be reached out via phone at 601-795-8024 and via fax at 601-795-0745.

Location: 1718 South Main Street, Poplarville, MS, 39470-4287
institution
Provider Profile Details
NPI Number
1306142674
Provider Name
Poplarville Dental Clinic
Credential
Provider Entity Type
Organization
Address
1718 South Main Street, Poplarville, MS, 39470-4287
Phone Number
601-795-8024
Fax Number
601-795-0745
Provider Enumeration Date
02/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660344 05 MS
institution
Provider Business Practice Location Address Details
Address
1718 South Main Street
City
State
Zip
39470-4287
Phone Number
601-795-8024
Fax Number
601-795-0745
person
Provider Business Mailing Address Details
Address
1718 South Main Street
City
State
Zip
39470-4287
Phone Number
601-795-8024
Fax Number
601-795-0745
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3142-00 (Mississippi)
Definition
Definition to come...
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