| Dr Lenora G Balthis, DMD | |
|
201 Garden Cv, Ridgeland, MS 39157-3555 | |
| (601) 832-0542 | |
| (601) 605-1966 |
| Full Name | Dr Lenora G Balthis |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 201 Garden Cv, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558443481 | NPI | - | NPPES |
| 2393-88 | Other | MS | DENTAL LICENSE NUMBER |
| 64-0816017 | Other | MS | TAX IDENTIFICATION NUMBER |
| 856340 | Other | UNITED CONCORDIA PROVIDER | |
| 00660016 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2393-88 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lenora G Balthis, DMD 6771 S Siwell Rd Ste C, Jackson, MS 39272-9697 Ph: (601) 373-4500 | Dr Lenora G Balthis, DMD 201 Garden Cv, Ridgeland, MS 39157-3555 Ph: (601) 832-0542 |
Dr. John L Henson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 451 North Park Dr #a, Ridgeland, MS 39157 Phone: 601-957-7030 Fax: 601-957-7732 | |
Dr. Michelle B Crews, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 141 Township Ave, Suite 111, Ridgeland, MS 39157 Phone: 769-257-0399 | |
Dr. Michael T Tramel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 261 Trace Colony Park Drive, Suite A, Ridgeland, MS 39157 Phone: 601-982-7212 Fax: 601-981-2362 | |
Dr. Meredith Douglass, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7048 Old Canton Rd, Ridgeland, MS 39157 Phone: 601-853-8904 | |
Dr. Curtis Patrick Caskey, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 218 W Jackson St, Ridgeland, MS 39157 Phone: 601-856-1919 Fax: 601-856-1719 | |
Dr. Mary Tison Brown, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 261 Trace Colony Park Drive, Suite A, Ridgeland, MS 39157 Phone: 601-982-7212 Fax: 601-981-2362 | |
Paul Riley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 108 S Maple St Ste C, Ridgeland, MS 39157 Phone: 769-567-2555 |