| Florence Dental Clinic | |
|
129 Earl Clark Drive Florence MS 39073 | |
| (601) 845-2386 | |
| (601) 845-1470 |
| Full Name | Florence Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 129 Earl Clark Drive, Florence, Mississippi |
| Authorized Official Name and Position | Thomas R Byrd (DOCTOR) |
| Authorized Official Contact | 6048452386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florence Dental Clinic Po Box 97632 Jackson MS 39288-7632 Ph: (601) 845-2386 | Florence Dental Clinic 129 Earl Clark Drive Florence MS 39073 Ph: (601) 845-2386 |
| NPI Number | 1538330444 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538330444 | NPI | - | NPPES |
| 09015190 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2401 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 3182 (Mississippi) | Secondary |
Cole Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2614 Highway 49 S, Florence, MS 39073 Phone: 601-845-6357 |