| Farese Family Dental | |
|
2212 Jackson Ave W Oxford MS 38655-5409 | |
| (662) 234-8463 | |
| Not Available |
| Full Name | Farese Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2212 Jackson Ave W, Oxford, Mississippi |
| Authorized Official Name and Position | Lea M Farese (DENTIST) |
| Authorized Official Contact | 6622348463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farese Family Dental 522 Wedgewood Oxford MS 38655-5409 Ph: (662) 315-5834 | Farese Family Dental 2212 Jackson Ave W Oxford MS 38655-5409 Ph: (662) 234-8463 |
| NPI Number | 1932321007 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932321007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3293-04 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 3231-02 (Mississippi) | Secondary |
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