| Mitchell Dental Clinic, Inc. | |
|
103 N Louisville St Ackerman MS 39735-9147 | |
| (662) 285-6828 | |
| (662) 285-6896 |
| Full Name | Mitchell Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 N Louisville St, Ackerman, 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, Inc. Po Box 68 Ackerman MS 39735-0068 Ph: (662) 285-6828 | Mitchell Dental Clinic, Inc. 103 N Louisville St Ackerman MS 39735-9147 Ph: (662) 285-6828 |
| NPI Number | 1578712980 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578712980 | NPI | - | NPPES |
| 03806868 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Mississippi) | Primary |
Ackerman Family Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 North Louisville Street, Ackerman, MS 39735 Phone: 662-285-6702 |