| Dogwood Pediatric Dentistry | |
|
151 E Metro Dr Suite 201 Flowood MS 39232-4402 | |
| (601) 992-0007 | |
| Not Available |
| Full Name | Dogwood Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 151 E Metro Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Kyle Reed (MEMBER) |
| Authorized Official Contact | 6016726756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Pediatric Dentistry 151 E Metro Dr Suite 201 Flowood MS 39232-4402 Ph: (601) 992-0007 | Dogwood Pediatric Dentistry 151 E Metro Dr Suite 201 Flowood MS 39232-4402 Ph: (601) 992-0007 |
| NPI Number | 1952682734 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952682734 | NPI | - | NPPES |
| 08406567 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3511-09 (Mississippi) | Primary |
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