| Mid South Endodontics Pllc | |
|
1918 Exeter Rd Unit 1 Germantown TN 38138-2970 | |
| (662) 890-3196 | |
| (662) 890-3197 |
| Full Name | Mid South Endodontics Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1918 Exeter Rd Unit 1, Germantown, Tennessee |
| Authorized Official Name and Position | Michael Patrick Lowery (MEMBER) |
| Authorized Official Contact | 6628903196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid South Endodontics Pllc 5740 Getwell Rd Ste A Southaven MS 38672-6346 Ph: (662) 890-3196 | Mid South Endodontics Pllc 1918 Exeter Rd Unit 1 Germantown TN 38138-2970 Ph: (662) 890-3196 |
| NPI Number | 1417414350 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417414350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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