institution
Reservoir Smiles Dentistry, Pllc
Dental Clinic/Center in Brandon, Mississippi
NPI 1316458136

Reservoir Smiles Dentistry, Pllc is a Dental Clinic/Center based in Brandon, MS and is specialized in Dental. Reservoir Smiles Dentistry, Pllc practices in Brandon, MS. The NPI Number for Reservoir Smiles Dentistry, Pllc is 1316458136 and holds a License No. 3421 (Mississippi).

The current practice location address for Reservoir Smiles Dentistry, Pllc is 1149 Old Fannin Rd Ste 26, Brandon, MS and can be reached out via phone at 601-992-7972 and via fax at 601-992-7975. You can also correspond with Reservoir Smiles Dentistry, Pllc through the mailing address at 1149 OLD FANNIN RD STE 26, BRANDON, MS - 39047-9244 (mailing address contact number: 601-992-7972).

Location: 1149 Old Fannin Rd Ste 26, Brandon, MS, 39047-9244
institution
Provider Profile Details
NPI Number
1316458136
Provider Name
Reservoir Smiles Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
1149 Old Fannin Rd Ste 26, Brandon, MS, 39047-9244
Phone Number
601-992-7972
Fax Number
601-992-7975
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1376725754 01 MS DR. AMYE L SHAMBURGER
institution
Provider Business Practice Location Address Details
Address
1149 Old Fannin Rd Ste 26
City
State
Zip
39047-9244
Phone Number
601-992-7972
Fax Number
601-992-7975
person
Provider Business Mailing Address Details
Address
1149 Old Fannin Rd Ste 26
City
State
Zip
39047-9244
Phone Number
601-992-7972
Fax Number
601-992-7975
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3421 (Mississippi)
Definition
Definition to come...
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