| Carroll County General Dentistry, Llc | |
|
613 Lexington Street Carrollton MS 38917 | |
| (662) 237-4646 | |
| (662) 237-4647 |
| Full Name | Carroll County General Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 613 Lexington Street, Carrollton, Mississippi |
| Authorized Official Name and Position | Richard D Hill (OWNER) |
| Authorized Official Contact | 6014087780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll County General Dentistry, Llc Po Box 35 Carrollton MS 38917-0035 Ph: (662) 237-4646 | Carroll County General Dentistry, Llc 613 Lexington Street Carrollton MS 38917 Ph: (662) 237-4646 |
| NPI Number | 1912270406 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912270406 | NPI | - | NPPES |
| 08405535 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2730-93 (Mississippi) | Primary |