| Oak Grove Family Dentistry | |
|
6657 U S Highway 98 Hattiesburg MS 39402-8442 | |
| (601) 264-0537 | |
| (601) 268-7395 |
| Full Name | Oak Grove Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6657 U S Highway 98, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Alan D. Lucas (DOCTOR) |
| Authorized Official Contact | 6012640537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Grove Family Dentistry 6657 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 264-0537 | Oak Grove Family Dentistry 6657 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 264-0537 |
| NPI Number | 1285817510 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 12/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285817510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 249689 (Mississippi) | Primary |
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