| Collin B Peterson Dmd Dentistry Pllc | |
|
10409 Boney Ave Diberville MS 39540-4813 | |
| (228) 216-7853 | |
| Not Available |
| Full Name | Collin B Peterson Dmd Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10409 Boney Ave, Diberville, Mississippi |
| Authorized Official Name and Position | Collin Peterson (DENTIST/OWNER) |
| Authorized Official Contact | 2282167853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collin B Peterson Dmd Dentistry Pllc 11579 Otto Ave Gulfport MS 39503-6152 Ph: (228) 216-7853 | Collin B Peterson Dmd Dentistry Pllc 10409 Boney Ave Diberville MS 39540-4813 Ph: (228) 216-7853 |
| NPI Number | 1447059019 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447059019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Steven K Miner Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10409 Boney Ave, Diberville, MS 39540 Phone: 228-424-0145 | |
Back Bay Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10409 Boney Ave, Diberville, MS 39540 Phone: 228-392-0509 Fax: 228-392-8709 | |
Andrea L Davis Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11505 Cinema Dr, Suite 6, Diberville, MS 39540 Phone: 228-396-9000 | |
Clifford J Cook Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10437 Lamey Bridge Rd, Ste E, Diberville, MS 39540 Phone: 228-860-7895 |