| Desoto County Family Dentistry, P.l.l.c. | |
|
2631 Mcingvale Rd Suite 104 Hernando MS 38632-5934 | |
| (662) 429-3000 | |
| (662) 429-3008 |
| Full Name | Desoto County Family Dentistry, P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2631 Mcingvale Rd, Hernando, Mississippi |
| Authorized Official Name and Position | Stanley Marshal Woods (MANAGER) |
| Authorized Official Contact | 6624293000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto County Family Dentistry, P.l.l.c. 2631 Mcingvale Suite 104 Hernando MS 38632-0524 Ph: (910) 409-9843 | Desoto County Family Dentistry, P.l.l.c. 2631 Mcingvale Rd Suite 104 Hernando MS 38632-5934 Ph: (662) 429-3000 |
| NPI Number | 1063666584 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063666584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3584-08 (Mississippi) | Primary |
Desoto Family Dental Care,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Byhalia Rd, Hernando, MS 38632 Phone: 662-429-5239 Fax: 662-449-0758 | |
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Robert E. Maddux Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2264 Mcingvale Rd, Hernando, MS 38632 Phone: 662-429-6736 | |
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