| Stephen L Surber, DMD | |
|
401 Highway 11 S, Ellisville, MS 39437-3103 | |
| (601) 477-3771 | |
| (601) 477-3747 |
| Full Name | Stephen L Surber |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 401 Highway 11 S, Ellisville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346399953 | NPI | - | NPPES |
| 09015325 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2366-87 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Surber, DMD 401 Highway 11 S, Ellisville, MS 39437-3103 Ph: (601) 477-3771 | Stephen L Surber, DMD 401 Highway 11 S, Ellisville, MS 39437-3103 Ph: (601) 477-3771 |
Dr. Alecia A Moore, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 97 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-3779 | |
Paul Ivan Hathorn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5792 Fax: 601-477-5782 |