| Escatawpa Family Dentistry, Llc | |
|
8016 Highway 613 Escatawpa MS 39552 | |
| (228) 474-1314 | |
| Not Available |
| Full Name | Escatawpa Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8016 Highway 613, Escatawpa, Mississippi |
| Authorized Official Name and Position | Jeremy Parker (OWNER) |
| Authorized Official Contact | 2283920509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escatawpa Family Dentistry, Llc 8016 Highway 613 Moss Point MS 39562-8200 Ph: (228) 474-1314 | Escatawpa Family Dentistry, Llc 8016 Highway 613 Escatawpa MS 39552 Ph: (228) 474-1314 |
| NPI Number | 1134601156 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134601156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Mississippi) | Primary |