| Mitchell Dental Clinic | |
|
102 Pineview Dr Flowood MS 39232-6039 | |
| (662) 285-6828 | |
| (662) 285-6896 |
| Full Name | Mitchell Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 102 Pineview Dr, Flowood, Mississippi |
| Authorized Official Name and Position | John David Mitchell (OWNER) |
| Authorized Official Contact | 6622856828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Dental Clinic 102 Pineview Dr Flowood MS 39232-6039 Ph: (662) 285-6828 | Mitchell Dental Clinic 102 Pineview Dr Flowood MS 39232-6039 Ph: (662) 285-6828 |
| NPI Number | 1447610738 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447610738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2985-91 (Mississippi) | Primary |
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