| North Sunflower Medical Center Dentists | |
|
840 N Oak Ave Ruleville MS 38771-3227 | |
| (662) 756-2711 | |
| (662) 756-0306 |
| Full Name | North Sunflower Medical Center Dentists |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 840 N Oak Ave, Ruleville, Mississippi |
| Authorized Official Name and Position | Jose Daniel Ceja (CEO) |
| Authorized Official Contact | 6627562711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Sunflower Medical Center Dentists Po Box 369 Ruleville MS 38771-0369 Ph: (662) 756-1601 | North Sunflower Medical Center Dentists 840 N Oak Ave Ruleville MS 38771-3227 Ph: (662) 756-2711 |
| NPI Number | 1104037738 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104037738 | NPI | - | NPPES |
| 09013627 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Mississippi) | Primary |
Sunflower Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Ruby Ave, Ruleville, MS 38771 Phone: 662-756-1701 | |
Ruleville Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Ruby Ave, Ruleville, MS 38771 Phone: 662-756-0000 Fax: 662-756-0017 | |
Sunflower Dental Clinic, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Ruby Ave, Ruleville, MS 38771 Phone: 662-756-0000 Fax: 662-756-0017 |