| Crystal Springs Dental Center, Llc | |
|
304 Harmony Rd Crystal Springs MS 39059-2809 | |
| (901) 282-5706 | |
| Not Available |
| Full Name | Crystal Springs Dental Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 304 Harmony Rd, Crystal Springs, Mississippi |
| Authorized Official Name and Position | Terrance L Ware (OWNER/OPERATOR) |
| Authorized Official Contact | 9012825706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Springs Dental Center, Llc 304 Harmony Rd Crystal Springs MS 39059-2809 Ph: () - | Crystal Springs Dental Center, Llc 304 Harmony Rd Crystal Springs MS 39059-2809 Ph: (901) 282-5706 |
| NPI Number | 1023386372 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023386372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3439-07 (Mississippi) | Primary |
Albert J. Singletary, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 West Georgetown St., Crystal Springs, MS 39059 Phone: 601-892-3444 Fax: 601-892-4778 |