| Growing Smiles Of Picayune, Pllc | |
|
318 Memorial Blvd Suite E Picayune MS 39466-5509 | |
| (601) 798-0500 | |
| Not Available |
| Full Name | Growing Smiles Of Picayune, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 318 Memorial Blvd, Picayune, Mississippi |
| Authorized Official Name and Position | Horace E Combs (MEMBER) |
| Authorized Official Contact | 6017980500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Smiles Of Picayune, Pllc 500 Goodyear Blvd Picayune MS 39466-3217 Ph: (601) 798-0500 | Growing Smiles Of Picayune, Pllc 318 Memorial Blvd Suite E Picayune MS 39466-5509 Ph: (601) 798-0500 |
| NPI Number | 1871734715 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871734715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3213-02 (Mississippi) | Primary |
Picayune General Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Goodyear Blvd, Picayune, MS 39466 Phone: 601-798-0500 Fax: 601-799-0141 | |
Picayune Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Norwood St, Picayune, MS 39466 Phone: 601-798-8207 | |
Picayune Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hayden Oaks Dr, Picayune, MS 39466 Phone: 601-798-1135 | |
David Futrell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Highway 43 N, Picayune, MS 39466 Phone: 601-798-4221 Fax: 601-798-4241 |