| Pediatric Dentistry Of Gluckstadt | |
|
154 Calhoun Station Pkwy Ste F Gluckstadt MS 39110-5544 | |
| (769) 567-1807 | |
| (769) 567-1620 |
| Full Name | Pediatric Dentistry Of Gluckstadt |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 154 Calhoun Station Pkwy Ste F, Gluckstadt, Mississippi |
| Authorized Official Name and Position | Avani Khatri (OWNER) |
| Authorized Official Contact | 7695671807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Gluckstadt 154 Calhoun Station Pkwy Ste F Gluckstadt MS 39110-5544 Ph: (769) 567-1807 | Pediatric Dentistry Of Gluckstadt 154 Calhoun Station Pkwy Ste F Gluckstadt MS 39110-5544 Ph: (769) 567-1807 |
| NPI Number | 1821960683 |
|---|---|
| Provider Enumeration Date | 09/22/2025 |
| Last Update Date | 09/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821960683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |