| Willis & Parker Family Dentistry | |
|
1226 Jackson Ave Pascagoula MS 39567-4348 | |
| (228) 769-9010 | |
| (228) 762-0303 |
| Full Name | Willis & Parker Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1226 Jackson Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | J. A. Willis (PARTNER) |
| Authorized Official Contact | 2287699010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willis & Parker Family Dentistry Po Box 1086 Pascagoula MS 39568-1086 Ph: (228) 769-9010 | Willis & Parker Family Dentistry 1226 Jackson Ave Pascagoula MS 39567-4348 Ph: (228) 769-9010 |
| NPI Number | 1760697437 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760697437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1858-79 (Mississippi) | Primary |
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