| Union Dentistry, Inc. | |
|
25043 Highway 15 Union MS 39365-8577 | |
| (601) 774-9949 | |
| (601) 774-9955 |
| Full Name | Union Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25043 Highway 15, Union, Mississippi |
| Authorized Official Name and Position | Tina Nicole Harrison (OWNERDENTIST) |
| Authorized Official Contact | 6017749949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Dentistry, Inc. 25043 Highway 15 P.o. Box 276 Union MS 39365-8577 Ph: (601) 774-9949 | Union Dentistry, Inc. 25043 Highway 15 Union MS 39365-8577 Ph: (601) 774-9949 |
| NPI Number | 1689738833 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689738833 | NPI | - | NPPES |
| 00660263 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3001-97 (Mississippi) | Primary |