| Lake Serene Family Dental Clinic | |
|
6668 U S Highway 98 Ste. G Hattiesburg MS 39402-7981 | |
| (601) 450-2540 | |
| (601) 450-2606 |
| Full Name | Lake Serene Family Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6668 U S Highway 98, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Michael Trent Webb (DENTIST) |
| Authorized Official Contact | 6014502540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Serene Family Dental Clinic 6668 U S Highway 98 Ste. G Hattiesburg MS 39402-7981 Ph: (601) 450-2540 | Lake Serene Family Dental Clinic 6668 U S Highway 98 Ste. G Hattiesburg MS 39402-7981 Ph: (601) 450-2540 |
| NPI Number | 1154561728 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3424-07 (Mississippi) | Primary |
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