| Friends Of Mississippi Dentistry | |
|
105 N Brooks Ave Pelahatchie MS 39145-3091 | |
| (601) 854-5001 | |
| Not Available |
| Full Name | Friends Of Mississippi Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 N Brooks Ave, Pelahatchie, Mississippi |
| Authorized Official Name and Position | Sreenivas Koka (BOARD MEMBER) |
| Authorized Official Contact | 6194563712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends Of Mississippi Dentistry 108 Claiborne Chase Ridgeland MS 39157-9706 Ph: (619) 456-3712 | Friends Of Mississippi Dentistry 105 N Brooks Ave Pelahatchie MS 39145-3091 Ph: (601) 854-5001 |
| NPI Number | 1831978469 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831978469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mississippi Dental Center Of Pelahatchie Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Second St, Pelahatchie, MS 39145 Phone: 601-854-7478 | |
Bew Enterprises, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Brooks St, Pelahatchie, MS 39145 Phone: 601-854-5001 Fax: 601-854-6198 | |
S&p Ventures Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Second St, Pelahatchie, MS 39145 Phone: 601-854-7478 Fax: 601-854-7437 |