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Dental Group Of Ellisville, Pllc
General Practice Dentistry in Ellisville, Mississippi
NPI 1972851814

Dental Group Of Ellisville, Pllc is a General Practice Dentistry based in Ellisville, MS and is specialized in General Practice. Dental Group Of Ellisville, Pllc practices in Ellisville, MS. The NPI Number for Dental Group Of Ellisville, Pllc is 1972851814 and holds a License No. 2940-96 (Mississippi).

The current practice location address for Dental Group Of Ellisville, Pllc is 97 Hal Crocker Road, Ellisville, MS and can be reached out via phone at 601-477-3779 and via fax at 601-477-3770.

Location: 97 Hal Crocker Road, Ellisville, MS, 39437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972851814
Provider Name
Dental Group Of Ellisville, Pllc
Credential
Provider Entity Type
Organization
Address
97 Hal Crocker Road, Ellisville, MS, 39437
Phone Number
601-477-3779
Fax Number
601-477-3770
Provider Enumeration Date
08/27/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660377 05 MS
institution
Provider Business Practice Location Address Details
Address
97 Hal Crocker Road
City
Ellisville
State
Mississippi
Zip
39437
Phone Number
601-477-3779
Fax Number
601-477-3770
person
Provider Business Mailing Address Details
Address
97 Hal Crocker Road
City
Ellisville
State
Mississippi
Zip
39437
Phone Number
601-477-3779
Fax Number
601-477-3770
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2940-96 (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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