| Milling Pediatric Dentistry PLLC | |
|
1855 Crane Ridge Dr Ste B Jackson MS 39216-4944 | |
| (601) 982-8585 | |
| Not Available |
| Full Name | Milling Pediatric Dentistry PLLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1855 Crane Ridge Dr Ste B, Jackson, Mississippi |
| Authorized Official Name and Position | Stephanie Bell (OM) |
| Authorized Official Contact | 6019828585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milling Pediatric Dentistry PLLC 1855 Crane Ridge Dr Ste B Jackson MS 39216-4944 Ph: (601) 982-8585 | Milling Pediatric Dentistry PLLC 1855 Crane Ridge Dr Ste B Jackson MS 39216-4944 Ph: (601) 982-8585 |
| NPI Number | 1346992815 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346992815 | NPI | - | NPPES |
| 04122042 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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