| Advanced Dental And Tmj Center | |
|
399 Southcrest Ct Suite C Southaven MS 38671-4790 | |
| (901) 606-2800 | |
| Not Available |
| Full Name | Advanced Dental And Tmj Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 399 Southcrest Ct, Southaven, Mississippi |
| Authorized Official Name and Position | Pradeep Adatrow (PRESIDENT) |
| Authorized Official Contact | 9016062800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental And Tmj Center 399 Southcrest Ct Suite C Southaven MS 38671-4790 Ph: (901) 606-2800 | Advanced Dental And Tmj Center 399 Southcrest Ct Suite C Southaven MS 38671-4790 Ph: (901) 606-2800 |
| NPI Number | 1518323708 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518323708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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