| Austin Taylor D.d.s., P.a. | |
|
2910 Melton Ave Pascagoula MS 39581-4120 | |
| (228) 762-9250 | |
| (228) 762-1785 |
| Full Name | Austin Taylor D.d.s., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 2910 Melton Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Austin Taylor (PRESIDENT) |
| Authorized Official Contact | 2287629250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Taylor D.d.s., P.a. 2910 Melton Ave Pascagoula MS 39581-4120 Ph: (228) 762-9250 | Austin Taylor D.d.s., P.a. 2910 Melton Ave Pascagoula MS 39581-4120 Ph: (228) 762-9250 |
| NPI Number | 1811188444 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/27/2020 |
| Medicare PECOS PAC ID | 2567895980 |
|---|---|
| Medicare Enrollment ID | O20191125002440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811188444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 125766 (Mississippi) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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