| Oak Lane Family Dental | |
|
823 F E Sellers Hwy Monticello MS 39654-9378 | |
| (601) 587-7737 | |
| (601) 587-9457 |
| Full Name | Oak Lane Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 823 F E Sellers Hwy, Monticello, Mississippi |
| Authorized Official Name and Position | Sherry Chance Pippen (OWNER, DENTIST) |
| Authorized Official Contact | 6015877737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Lane Family Dental Po Box 2014 Monticello MS 39654-2014 Ph: (601) 587-7737 | Oak Lane Family Dental 823 F E Sellers Hwy Monticello MS 39654-9378 Ph: (601) 587-7737 |
| NPI Number | 1689840977 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689840977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3267-03 (Mississippi) | Primary |