| Thames Family Dentistry Pllc | |
|
9035 E Sandidge Rd Suite 100 Olive Branch MS 38654-3520 | |
| (662) 895-7338 | |
| (662) 895-7040 |
| Full Name | Thames Family Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9035 E Sandidge Rd, Olive Branch, Mississippi |
| Authorized Official Name and Position | Stephani Paige Hawkins (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 6628957338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thames Family Dentistry Pllc 9035 E Sandidge Rd Suite 100 Olive Branch MS 38654-3520 Ph: (662) 895-7338 | Thames Family Dentistry Pllc 9035 E Sandidge Rd Suite 100 Olive Branch MS 38654-3520 Ph: (662) 895-7338 |
| NPI Number | 1043423841 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043423841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2182 85 (Mississippi) | Primary |
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