Dr Daniel J Patti D.m.d., Pa | |
439 North Jackson St. Suite E Brookhaven MS 39601-2912 | |
(601) 833-0777 | |
(601) 833-6606 |
Full Name | Dr Daniel J Patti D.m.d., Pa |
---|---|
Speciality | Dentist |
Location | 439 North Jackson St., Brookhaven, Mississippi |
Authorized Official Name and Position | Daniel J Patti (OWNER) |
Authorized Official Contact | 6018330777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel J Patti D.m.d., Pa 439 North Jackson St. Suite E Brookhaven MS 39601-2912 Ph: (601) 833-0777 | Dr Daniel J Patti D.m.d., Pa 439 North Jackson St. Suite E Brookhaven MS 39601-2912 Ph: (601) 833-0777 |
NPI Number | 1205138708 |
---|---|
Provider Enumeration Date | 12/03/2010 |
Last Update Date | 12/03/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205138708 | NPI | - | NPPES |
07831757 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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