Organization
SARDIS FAMILY DENTAL CARE, LLC
Active
Other names
Sardis Family Dental Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA L ALLEN DMD (DENTIST)
(601) 790-1709
Entity
Organization
Contact information
Practice address
207 S POCAHONTAS STREET, SARDIS, MS 38666
(601) 790-1709
Mailing address
207 S POCAHONTAS STREET, SARDIS, MS 38666
(601) 790-1709
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1350584
MISSISSIPPI SECRETARY OF STATE BUSINESS ID
MS
Enumeration date
02/21/2023
Last updated
02/22/2023
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