Ackerman Family Dentistry, Pllc | |
136 North Louisville Street Ackerman MS 39735 | |
(662) 285-6702 | |
Not Available |
Full Name | Ackerman Family Dentistry, Pllc |
---|---|
Speciality | Dentist |
Location | 136 North Louisville Street, Ackerman, Mississippi |
Authorized Official Name and Position | Stanley Marshal Woods (MEMBER) |
Authorized Official Contact | 6622856702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ackerman Family Dentistry, Pllc Po Box 524 Hernando MS 38632-0524 Ph: () - | Ackerman Family Dentistry, Pllc 136 North Louisville Street Ackerman MS 39735 Ph: (662) 285-6702 |
NPI Number | 1710204326 |
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Provider Enumeration Date | 04/23/2010 |
Last Update Date | 04/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710204326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 348508 (Mississippi) | Primary |
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Mitchell Dental Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Louisville St, Ackerman, MS 39735 Phone: 662-285-6828 Fax: 662-285-6896 |