| Bounds Family Dental | |
|
1010 N 15th Ave Laurel MS 39440-2656 | |
| (601) 649-3511 | |
| Not Available |
| Full Name | Bounds Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1010 N 15th Ave, Laurel, Mississippi |
| Authorized Official Name and Position | James a Bounds (OWNER) |
| Authorized Official Contact | 6016493511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bounds Family Dental 1010 N 15th Ave Laurel MS 39440-2656 Ph: (601) 649-3511 | Bounds Family Dental 1010 N 15th Ave Laurel MS 39440-2656 Ph: (601) 649-3511 |
| NPI Number | 1720142219 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720142219 | NPI | - | NPPES |
| 00660241 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 200483 (Mississippi) | Primary |
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