| Iuka Family Dental, Pllc | |
|
915 Battleground Dr Iuka MS 38852-1320 | |
| (662) 424-0307 | |
| (662) 660-7145 |
| Full Name | Iuka Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 915 Battleground Dr, Iuka, Mississippi |
| Authorized Official Name and Position | Ginger M. Todd (INSURANCE COORDINATOR) |
| Authorized Official Contact | 6622873156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iuka Family Dental, Pllc 1025 Foote St Corinth MS 38834-4911 Ph: (662) 287-3156 | Iuka Family Dental, Pllc 915 Battleground Dr Iuka MS 38852-1320 Ph: (662) 424-0307 |
| NPI Number | 1851979868 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 03/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851979868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Goodwin & Green Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Battleground Dr, Iuka, MS 38852 Phone: 662-660-7142 Fax: 662-660-7145 |