| Michael W Hubbert Dmd, Llc | |
|
99 Highway 511 Quitman MS 39355-8899 | |
| (601) 776-3370 | |
| (601) 776-3373 |
| Full Name | Michael W Hubbert Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 99 Highway 511, Quitman, Mississippi |
| Authorized Official Name and Position | Michael Wayne Hubbert (MANAGING PARTNER) |
| Authorized Official Contact | 6017763370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Hubbert Dmd, Llc 99 Highway 511 Quitman MS 39355-8899 Ph: (601) 776-3370 | Michael W Hubbert Dmd, Llc 99 Highway 511 Quitman MS 39355-8899 Ph: (601) 776-3370 |
| NPI Number | 1972073849 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972073849 | NPI | - | NPPES |
| 00060139 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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