| Hage Family Dentistry | |
|
400 Pass Rd Gulfport MS 39507-2901 | |
| (228) 864-3416 | |
| Not Available |
| Full Name | Hage Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 Pass Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Laurence Matthew Hage (OWNER) |
| Authorized Official Contact | 2288643416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hage Family Dentistry 400 Pass Rd Gulfport MS 39507-2901 Ph: (228) 864-3416 | Hage Family Dentistry 400 Pass Rd Gulfport MS 39507-2901 Ph: (228) 864-3416 |
| NPI Number | 1215135280 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215135280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3271-03 (Mississippi) | Primary |
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