| Legendary Orthodontics, LLC | |
|
3225 Audubon Dr Laurel MS 39440-1422 | |
| (601) 778-0367 | |
| (601) 340-3162 |
| Full Name | Legendary Orthodontics, LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3225 Audubon Dr, Laurel, Mississippi |
| Authorized Official Name and Position | Kevin Douglas (OWNER) |
| Authorized Official Contact | 9546005027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Orthodontics, LLC 3225 Audubon Dr Laurel MS 39440-1422 Ph: (601) 778-0367 | Legendary Orthodontics, LLC 3225 Audubon Dr Laurel MS 39440-1422 Ph: (601) 778-0367 |
| NPI Number | 1508359340 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508359340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
Edward Brown Specialty Partners of Mississippi, PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 N 15th Ave, Laurel, MS 39440 Phone: 601-215-2021 |
Family Dental Center of Laurel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 W 15th St, Laurel, MS 39440 Phone: 601-428-0082 |
Smile Country Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 601-215-2021 |
Family Dental Center of Laurel, P.A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 W 15th St, Laurel, MS 39440 Phone: 601-428-0082 |
Cronin Family Dentistry of Laurel, PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 601-450-5550 Fax: 601-450-5551 |
Robert L. Donald, Jr., D.D.S. PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 301-649-2222 Fax: 601-649-0255 |