| Riverside Dental Care Pllc | |
|
4400 Mcinnis Ave Moss Point MS 39563-2814 | |
| (228) 475-0005 | |
| (228) 475-0057 |
| Full Name | Riverside Dental Care Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4400 Mcinnis Ave, Moss Point, Mississippi |
| Authorized Official Name and Position | Wayne T Adkison (OWNER) |
| Authorized Official Contact | 2284750005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Care Pllc 4400 Mcinnis Ave Moss Point MS 39563-2814 Ph: (228) 475-0005 | Riverside Dental Care Pllc 4400 Mcinnis Ave Moss Point MS 39563-2814 Ph: (228) 475-0005 |
| NPI Number | 1730551508 |
|---|---|
| Provider Enumeration Date | 10/20/2015 |
| Last Update Date | 10/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730551508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Sonya White, D. D. S., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4014 Main St, Moss Point, MS 39563 Phone: 228-474-7645 Fax: 228-474-6406 |