| Waveland Dental Centerpllc | |
|
110 Auderer Blvd Waveland MS 39576-2432 | |
| (228) 270-0044 | |
| (228) 270-0047 |
| Full Name | Waveland Dental Centerpllc |
|---|---|
| Speciality | Dentist |
| Location | 110 Auderer Blvd, Waveland, Mississippi |
| Authorized Official Name and Position | Dana Hal Jones (OWNER DENTIST) |
| Authorized Official Contact | 2282700044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waveland Dental Centerpllc 110 Auderer Blvd Waveland MS 39576-2432 Ph: (228) 270-0044 | Waveland Dental Centerpllc 110 Auderer Blvd Waveland MS 39576-2432 Ph: (228) 270-0044 |
| NPI Number | 1336346113 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336346113 | NPI | - | NPPES |
| 09702778 | Medicaid | MS | |
| 428436169 | Other | MS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Waveland Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auderer Blvd, Waveland, MS 39576 Phone: 228-270-0044 Fax: 228-270-0047 | |
Bruni Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auderer Blvd, Waveland, MS 39576 Phone: 228-270-0044 Fax: 228-270-0047 |