Mississippi Dental Center Of Brandon, Llc | |
365 Crossgates Blvd Brandon MS 39042-2602 | |
(601) 825-2411 | |
Not Available |
Full Name | Mississippi Dental Center Of Brandon, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 365 Crossgates Blvd, Brandon, Mississippi |
Authorized Official Name and Position | Chandler Pleasant (OWNER/DENTIST) |
Authorized Official Contact | 6018252411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mississippi Dental Center Of Brandon, Llc 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 | Mississippi Dental Center Of Brandon, Llc 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 |
NPI Number | 1104559749 |
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Provider Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104559749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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