| Mississippi Dental Center Of Brandon, Llc | |
|
365 Crossgates Blvd Brandon MS 39042-2602 | |
| (601) 825-2411 | |
| Not Available |
| Full Name | Mississippi Dental Center Of Brandon, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 365 Crossgates Blvd, Brandon, Mississippi |
| Authorized Official Name and Position | Chandler Pleasant (OWNER/DENTIST) |
| Authorized Official Contact | 6018252411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Dental Center Of Brandon, Llc 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 | Mississippi Dental Center Of Brandon, Llc 365 Crossgates Blvd Brandon MS 39042-2602 Ph: (601) 825-2411 |
| NPI Number | 1104559749 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104559749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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