| Goodman Dental | |
|
7271 Goodman Rd Olive Branch MS 38654-1906 | |
| (662) 895-4737 | |
| Not Available |
| Full Name | Goodman Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7271 Goodman Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Debbie K Shields (BUSINESS OFFICE) |
| Authorized Official Contact | 6628401535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Dental 7271 Goodman Rd Olive Branch MS 38654-1906 Ph: (662) 895-4737 | Goodman Dental 7271 Goodman Rd Olive Branch MS 38654-1906 Ph: (662) 895-4737 |
| NPI Number | 1174072409 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174072409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 233887 (Mississippi) | Primary |
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