| Joseph K Shleweet Dds, Pllc | |
|
526 S Choctaw St Ste B&c Clarksdale MS 38614-4807 | |
| (662) 627-3633 | |
| (662) 627-5655 |
| Full Name | Joseph K Shleweet Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 526 S Choctaw St Ste B&c, Clarksdale, Mississippi |
| Authorized Official Name and Position | Joseph K. Shleweet (DENTIST) |
| Authorized Official Contact | 6626273633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph K Shleweet Dds, Pllc 526 S Choctaw St Ste B&c Clarksdale MS 38614-4807 Ph: (662) 627-3633 | Joseph K Shleweet Dds, Pllc 526 S Choctaw St Ste B&c Clarksdale MS 38614-4807 Ph: (662) 627-3633 |
| NPI Number | 1821355785 |
|---|---|
| Provider Enumeration Date | 04/17/2012 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821355785 | NPI | - | NPPES |
| 07587317 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3359-05 (Mississippi) | Primary |
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