Edwards Dental Clinic Inc | |
1202 Hwy 22 Edwards MS 39066 | |
(601) 852-2832 | |
(601) 852-8927 |
Full Name | Edwards Dental Clinic Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 1202 Hwy 22, Edwards, Mississippi |
Authorized Official Name and Position | Lane Gibson Clower (DMD) |
Authorized Official Contact | 6018522832 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edwards Dental Clinic Inc 1202 Hwy 22 Edwards MS 39066 Ph: (601) 852-2832 | Edwards Dental Clinic Inc 1202 Hwy 22 Edwards MS 39066 Ph: (601) 852-2832 |
NPI Number | 1982740809 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982740809 | NPI | - | NPPES |
00060458 | Other | MS | PROVIDER |
05730275 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 253590 (Mississippi) | Primary |
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