Pearl River Dental, Pllc | |
209 Riverwind East Dr Pearl MS 39208 | |
(601) 936-6161 | |
(601) 936-6163 |
Full Name | Pearl River Dental, Pllc |
---|---|
Speciality | Dentist |
Location | 209 Riverwind East Dr, Pearl, Mississippi |
Authorized Official Name and Position | Patty Toups (CEO) |
Authorized Official Contact | 6012718710 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pearl River Dental, Pllc 209 Riverwind East Dr Pearl MS 39208 Ph: (601) 936-6161 | Pearl River Dental, Pllc 209 Riverwind East Dr Pearl MS 39208 Ph: (601) 936-6161 |
NPI Number | 1417366725 |
---|---|
Provider Enumeration Date | 08/12/2014 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417366725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2940-96 (Mississippi) | Primary |
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