Organization
LD-BATESVILLE, LLC
Active
Other names
Batesville Dental, WAMH PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMIN DIRECTOR)
(256) 783-9468
Entity
Organization
Contact information
Practice address
113 EUREKA ST, BATESVILLE, MS 38606-2534
(662) 563-7644
(662) 586-2995
Mailing address
113 EUREKA ST, BATESVILLE, MS 38606-2534
(662) 563-7644
(866) 275-9279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
07/07/2023
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