| Dr Harold Kolodney, Jr, D M D | |
|
7728 Old Canton Rd, Suite B, Madison, MS 39110-6103 | |
| (601) 856-4420 | |
| (601) 853-1592 |
| Full Name | Dr Harold Kolodney, Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - Prosthodontics |
| Location | 7728 Old Canton Rd, Madison, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972655736 | NPI | - | NPPES |
| 00660338 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | PROS-274-94 (Mississippi) | Primary |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harold Kolodney, Jr, D M D 7728 Old Canton Rd, Suite B, Madison, MS 39110-6103 Ph: (601) 856-4420 | Dr Harold Kolodney, Jr, D M D 7728 Old Canton Rd, Suite B, Madison, MS 39110-6103 Ph: (601) 856-4420 |
Austin Troy Dillon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 990 Ebenezer Blvd, Madison, MS 39110 Phone: 601-898-3000 | |
Dr. Richard L. Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 445 Fairfield Dr, Madison, MS 39110 Phone: 601-497-3218 | |
Jason Ross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Broadmoor Dr, Madison, MS 39110 Phone: 601-856-5227 | |
Dr. Mary Linda Remley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7724 Old Canton Rd Ste A, Madison, MS 39110 Phone: 601-853-1307 | |
Dr. Braden Mcinteer, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1896 Main St, Ste B, Madison, MS 39110 Phone: 601-898-9390 | |
Mr. Lance D Dillon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 927 Highway 51, Madison, MS 39110 Phone: 601-898-3000 Fax: 601-898-0340 | |
Mary Olivia Cook, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Woodgreen Pl Ste 100, Madison, MS 39110 Phone: 601-605-5015 |