| Stanford Dental Clinic, Llc | |
|
306 N Commerce St Ripley MS 38663-1721 | |
| (662) 837-7822 | |
| (662) 837-1076 |
| Full Name | Stanford Dental Clinic, Llc |
|---|---|
| Speciality | Dentist |
| Location | 306 N Commerce St, Ripley, Mississippi |
| Authorized Official Name and Position | Stephen T. Stanford (OWNER) |
| Authorized Official Contact | 6628377822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Dental Clinic, Llc 306 N Commerce St Ripley MS 38663-1721 Ph: (662) 837-7822 | Stanford Dental Clinic, Llc 306 N Commerce St Ripley MS 38663-1721 Ph: (662) 837-7822 |
| NPI Number | 1891258463 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891258463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Donald P. Roten, Dds, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Union St, Ripley, MS 38663 Phone: 662-837-4664 Fax: 662-837-1501 | |
Griffin Dental P. A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Walnut St, Ripley, MS 38663 Phone: 662-837-8141 Fax: 662-837-8199 |