| Grenada Dental Associates | |
|
2117 Commerce St Grenada MS 38901-5400 | |
| (662) 226-6014 | |
| (662) 226-9986 |
| Full Name | Grenada Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2117 Commerce St, Grenada, Mississippi |
| Authorized Official Name and Position | Ginger Payne (OFFICE) |
| Authorized Official Contact | 6622266014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grenada Dental Associates 2117 Commerce St Grenada MS 38901-5400 Ph: (662) 226-6014 | Grenada Dental Associates 2117 Commerce St Grenada MS 38901-5400 Ph: (662) 226-6014 |
| NPI Number | 1578719399 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578719399 | NPI | - | NPPES |
| 1467572206 | Other | MS | BCBS |
| 1619018462 | Other | MS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1896-80 (Mississippi) | Primary |
| 1223G0001X | Dentist - General Practice | 1912-80 (Mississippi) | Secondary |
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K Squared, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1526 Sunset Dr, Grenada, MS 38901 Phone: 662-614-1273 | |
David R Braswell Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Tatum Ave, Grenada, MS 38901 Phone: 662-226-1681 Fax: 662-226-1601 | |
Ware Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2376 Sunset Dr, Grenada, MS 38901 Phone: 662-226-1865 Fax: 662-226-1845 | |
John H. Coleman,pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 S Line St, Grenada, MS 38901 Phone: 662-226-0585 Fax: 662-226-0586 | |
Grenada Dental Clinic Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Hill Dr Ste A, Grenada, MS 38901 Phone: 662-226-1757 Fax: 662-307-2709 |