institution
Grenada Dental Associates
General Practice Dentistry in Grenada, Mississippi
NPI 1578719399

Grenada Dental Associates is a General Practice Dentistry based in Grenada, MS and is specialized in General Practice. Grenada Dental Associates practices in Grenada, MS. The NPI Number for Grenada Dental Associates is 1578719399 and holds a License No. 1896-80 (Mississippi).

The current practice location address for Grenada Dental Associates is 2117 Commerce St, Grenada, MS and can be reached out via phone at 662-226-6014 and via fax at 662-226-9986.

Location: 2117 Commerce St, Grenada, MS, 38901-5400
institution
Provider Profile Details
NPI Number
1578719399
Provider Name
Grenada Dental Associates
Credential
Provider Entity Type
Organization
Address
2117 Commerce St, Grenada, MS, 38901-5400
Phone Number
662-226-6014
Fax Number
662-226-9986
Provider Enumeration Date
08/12/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467572206 01 MS BCBS
1619018462 01 MS BCBS
institution
Provider Business Practice Location Address Details
Address
2117 Commerce St
City
State
Zip
38901-5400
Phone Number
662-226-6014
Fax Number
662-226-9986
person
Provider Business Mailing Address Details
Address
2117 Commerce St
City
State
Zip
38901-5400
Phone Number
662-226-6014
Fax Number
662-226-9986
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
1896-80 (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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