| Heritage Family Dental | |
|
303 S Archusa Ave # A Quitman MS 39355-2325 | |
| (601) 776-6630 | |
| Not Available |
| Full Name | Heritage Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 S Archusa Ave # A, Quitman, 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 |
|---|---|
| Heritage Family Dental 303 S Archusa Ave # A Quitman MS 39355-2325 Ph: (601) 776-6630 | Heritage Family Dental 303 S Archusa Ave # A Quitman MS 39355-2325 Ph: (601) 776-6630 |
| NPI Number | 1699358739 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699358739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Archusa Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Highway 511, Quitman, MS 39355 Phone: 601-776-3700 | |
Quitman Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E Donald St, Quitman, MS 39355 Phone: 601-776-2511 Fax: 601-776-8993 | |
Donald G. Traxler, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303a S Archusa Ave, Quitman, MS 39355 Phone: 601-776-6630 Fax: 601-776-3825 | |
Michael W Hubbert Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Highway 511, Quitman, MS 39355 Phone: 601-776-3370 Fax: 601-776-3373 |