| Austin Poole, Dmd, Pllc | |
|
705 S Choctaw St Clarksdale MS 38614-4810 | |
| (662) 627-7324 | |
| (662) 627-7325 |
| Full Name | Austin Poole, Dmd, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 705 S Choctaw St, Clarksdale, Mississippi |
| Authorized Official Name and Position | Austin Poole (OWNER) |
| Authorized Official Contact | 6626277324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Poole, Dmd, Pllc 705 Choctaw South Clarksdale MS 38614 Ph: (662) 627-7324 | Austin Poole, Dmd, Pllc 705 S Choctaw St Clarksdale MS 38614-4810 Ph: (662) 627-7324 |
| NPI Number | 1104108612 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 09/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104108612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3239-02 (Mississippi) | Primary |
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