| Ross Dental Clinic P.c. | |
|
233 Woodland St Morton MS 39117-3711 | |
| (601) 732-6200 | |
| (601) 732-6624 |
| Full Name | Ross Dental Clinic P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 233 Woodland St, Morton, Mississippi |
| Authorized Official Name and Position | Jamie Eichelberger Ross (PRESIDENT) |
| Authorized Official Contact | 6017326200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Dental Clinic P.c. 233 Woodland St P.o. Box 19 Morton MS 39117-3711 Ph: (601) 732-6200 | Ross Dental Clinic P.c. 233 Woodland St Morton MS 39117-3711 Ph: (601) 732-6200 |
| NPI Number | 1316153588 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316153588 | NPI | - | NPPES |
| 00660051 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2747-93 (Mississippi) | Primary |