| Sunflower Dental Clinic, Inc | |
|
102 N Ruby Ave Ruleville MS 38771-3940 | |
| (662) 756-0000 | |
| (662) 756-0017 |
| Full Name | Sunflower Dental Clinic, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 N Ruby Ave, Ruleville, Mississippi |
| Authorized Official Name and Position | Jerry D Tankersley (DENTIST/OWNER) |
| Authorized Official Contact | 6627560000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Dental Clinic, Inc Po Box 98 Ruleville MS 38771-0098 Ph: (662) 756-0000 | Sunflower Dental Clinic, Inc 102 N Ruby Ave Ruleville MS 38771-3940 Ph: (662) 756-0000 |
| NPI Number | 1942840194 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942840194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
North Sunflower Medical Center Dentists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-2711 Fax: 662-756-0306 | |
Sunflower Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Ruby Ave, Ruleville, MS 38771 Phone: 662-756-1701 | |
Ruleville Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Ruby Ave, Ruleville, MS 38771 Phone: 662-756-0000 Fax: 662-756-0017 |