| Associated Dental Of Ridgeland, Pllc | |
|
733 Lake Harbour Dr Ste G Ridgeland MS 39157-4304 | |
| (601) 856-4888 | |
| (601) 856-8077 |
| Full Name | Associated Dental Of Ridgeland, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 733 Lake Harbour Dr Ste G, Ridgeland, Mississippi |
| Authorized Official Name and Position | Teresa Marie Trusty (OFFICE MANAGER) |
| Authorized Official Contact | 6019198575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Dental Of Ridgeland, Pllc 733 Lake Harbour Dr Ste G Ridgeland MS 39157-4304 Ph: (601) 856-4888 | Associated Dental Of Ridgeland, Pllc 733 Lake Harbour Dr Ste G Ridgeland MS 39157-4304 Ph: (601) 856-4888 |
| NPI Number | 1265685606 |
|---|---|
| Provider Enumeration Date | 10/29/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265685606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3214 (Mississippi) | Primary |
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