| Germantown Dental | |
|
102 Dees Dr Madison MS 39110-5004 | |
| (601) 271-8710 | |
| Not Available |
| Full Name | Germantown Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Dees Dr, Madison, Mississippi |
| Authorized Official Name and Position | Kelly Miller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Germantown Dental 102 Dees Dr Madison MS 39110-5004 Ph: () - | Germantown Dental 102 Dees Dr Madison MS 39110-5004 Ph: (601) 271-8710 |
| NPI Number | 1659095495 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659095495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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