Mitchell Dental Clinic, Inc. | |
103 N Louisville St Ackerman MS 39735-9147 | |
(662) 285-6828 | |
(662) 285-6896 |
Full Name | Mitchell Dental Clinic, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 103 N Louisville St, Ackerman, Mississippi |
Authorized Official Name and Position | John David Mitchell (OWNER) |
Authorized Official Contact | 6622856828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mitchell Dental Clinic, Inc. Po Box 68 Ackerman MS 39735-0068 Ph: (662) 285-6828 | Mitchell Dental Clinic, Inc. 103 N Louisville St Ackerman MS 39735-9147 Ph: (662) 285-6828 |
NPI Number | 1578712980 |
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Provider Enumeration Date | 09/10/2008 |
Last Update Date | 09/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578712980 | NPI | - | NPPES |
03806868 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Mississippi) | Primary |
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› Verified 5 days ago
Ackerman Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 North Louisville Street, Ackerman, MS 39735 Phone: 662-285-6702 |