| Dental Group Of Magee Pllc | |
|
1667 Highway 49s Ste 6 Magee MS 39111 | |
| (601) 271-8710 | |
| Not Available |
| Full Name | Dental Group Of Magee Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1667 Highway 49s Ste 6, Magee, Mississippi |
| Authorized Official Name and Position | Terry Lake Garner (MEMBER) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of Magee Pllc 4358 Lincoln Road Ext Ste 10 Hattiesburg MS 39402-3275 Ph: (601) 271-8710 | Dental Group Of Magee Pllc 1667 Highway 49s Ste 6 Magee MS 39111 Ph: (601) 271-8710 |
| NPI Number | 1053707083 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 04/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053707083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 294096 (Mississippi) | Primary |
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