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Family Dental Care
Dental Clinic/Center in Indianola, Mississippi
NPI 1679063176

Family Dental Care is a Dental Clinic/Center based in Indianola, MS and is specialized in Dental. Family Dental Care practices in Indianola, MS. The NPI Number for Family Dental Care is 1679063176 and holds a License No. 273893 (Mississippi).

The current practice location address for Family Dental Care is 501 Park Ave, Indianola, MS and can be reached out via phone at 662-887-1272.

Location: 501 Park Ave, Indianola, MS, 38751-0972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679063176
Provider Name
Family Dental Care
Credential
Provider Entity Type
Organization
Address
501 Park Ave, Indianola, MS, 38751-0972
Phone Number
662-887-1272
Fax Number
Provider Enumeration Date
05/10/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477073278 01 NPI
00660041 05 MS
07535056 05 MS
1417048182 01 NPI
institution
Provider Business Practice Location Address Details
Address
501 Park Ave
City
Indianola
State
Mississippi
Zip
38751
Phone Number
662-887-1272
Fax Number
person
Provider Business Mailing Address Details
Address
501 Park Ave
City
Indianola
State
Mississippi
Zip
38751
Phone Number
662-887-1272
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
273893 (Mississippi)
Definition
Definition to come...
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