| Magnolia Smiles Of Purvis, Pllc | |
|
103 Shelby Speights Dr Purvis MS 39475-4094 | |
| (601) 735-5086 | |
| Not Available |
| Full Name | Magnolia Smiles Of Purvis, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 Shelby Speights Dr, Purvis, Mississippi |
| Authorized Official Name and Position | Oscar Randolph Jones (DENTIST/PARTNER) |
| Authorized Official Contact | 6014108262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Smiles Of Purvis, Pllc 806 Mississippi Dr Waynesboro MS 39367-2438 Ph: (601) 735-5086 | Magnolia Smiles Of Purvis, Pllc 103 Shelby Speights Dr Purvis MS 39475-4094 Ph: (601) 735-5086 |
| NPI Number | 1700677416 |
|---|---|
| Provider Enumeration Date | 05/13/2025 |
| Last Update Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700677416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Humphreys Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 Shelby Speights Drive, Purvis, MS 39475 Phone: 601-794-8115 Fax: 601-794-8115 | |
Terrace Hill Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Hwy 589, Purvis, MS 39475 Phone: 601-264-5756 |