Organization
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Other names
Dental Care at The Fountains
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Authorized official
BELINDA H. (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
4033 FOUNTAIN LN, HORN LAKE, MS 38637-1384
(662) 913-4778
(662) 913-4776
Mailing address
4033 FOUNTAIN LN, HORN LAKE, MS 38637-1384
(662) 913-4778
(662) 913-4776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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