| Metro Dental Inc | |
|
1836 Crane Ridge Dr Jackson MS 39216-4901 | |
| (601) 862-2752 | |
| Not Available |
| Full Name | Metro Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 1836 Crane Ridge Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Jim Polles (OWNER) |
| Authorized Official Contact | 6018622752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Dental Inc 1836 Crane Ridge Dr Jackson MS 39216-4901 Ph: (601) 862-2752 | Metro Dental Inc 1836 Crane Ridge Dr Jackson MS 39216-4901 Ph: (601) 862-2752 |
| NPI Number | 1720390693 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720390693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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