| Mitchell Dental Clinic, Inc. | |
|
59 Frontage Rd N Macon MS 39341-2372 | |
| (662) 285-6828 | |
| (668) 285-6896 |
| Full Name | Mitchell Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 59 Frontage Rd N, Macon, Mississippi |
| Authorized Official Name and Position | John David Mitchell (OWNER CEO) |
| Authorized Official Contact | 6627264344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Dental Clinic, Inc. 59 Frontage Rd N Macon MS 39341-2372 Ph: (662) 285-6828 | Mitchell Dental Clinic, Inc. 59 Frontage Rd N Macon MS 39341-2372 Ph: (662) 285-6828 |
| NPI Number | 1497981658 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497981658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2685-92 (Mississippi) | Primary |