| Summit Family Dentistry Pllc | |
|
103 Laurel Street Summit MS 39666 | |
| (601) 276-7915 | |
| (601) 276-7929 |
| Full Name | Summit Family Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 Laurel Street, Summit, Mississippi |
| Authorized Official Name and Position | Donald E. Price (OWNER) |
| Authorized Official Contact | 6012767915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Dentistry Pllc Po Box 789 Summit MS 39666-0789 Ph: (601) 276-7915 | Summit Family Dentistry Pllc 103 Laurel Street Summit MS 39666 Ph: (601) 276-7915 |
| NPI Number | 1700051455 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700051455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1766-77 (Mississippi) | Primary |