Magnolia Family Dentistry Of Columbus, Inc. | |
2401 5th St N Ste 2 Columbus MS 39705-2005 | |
(662) 328-8001 | |
(888) 852-8644 |
Full Name | Magnolia Family Dentistry Of Columbus, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 2401 5th St N Ste 2, Columbus, Mississippi |
Authorized Official Name and Position | Donnie J. Richardson (OWNER/CEO) |
Authorized Official Contact | 6623288001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Magnolia Family Dentistry Of Columbus, Inc. 2401 5th St N Ste 2 Columbus MS 39705-2005 Ph: (662) 328-8001 | Magnolia Family Dentistry Of Columbus, Inc. 2401 5th St N Ste 2 Columbus MS 39705-2005 Ph: (662) 328-8001 |
NPI Number | 1043533623 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 03/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043533623 | NPI | - | NPPES |
02150825 | Medicaid | MS |
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