| Delta Family Dental, Pllc | |
|
201 W Sunflower Rd Cleveland MS 38732-2637 | |
| (601) 271-8710 | |
| Not Available |
| Full Name | Delta Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 W Sunflower Rd, Cleveland, Mississippi |
| Authorized Official Name and Position | Lanthea Mangum (COO) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Family Dental, Pllc 4358 Lincoln Road Ext Ste 20 Hattiesburg MS 39402-3275 Ph: (601) 271-8710 | Delta Family Dental, Pllc 201 W Sunflower Rd Cleveland MS 38732-2637 Ph: (601) 271-8710 |
| NPI Number | 1124644455 |
|---|---|
| Provider Enumeration Date | 06/23/2020 |
| Last Update Date | 06/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124644455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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