Organization
LD-COLUMBUS, LLC
Active
Parent organization
LD-COLUMBUS, LLC
Other names
Bright Smiles Dental Two
Organization subpart
Yes
Provider details
NPI number
Legal business name
LD-COLUMBUS, LLC
Authorized official
MRS. LIZZ DAIGNEAULT (ADMINISTRATIVE DIRECTOR)
(662) 550-2310
Entity
Organization
Contact information
Practice address
323 HOSPITAL DR, COLUMBUS, MS 39705-1920
(662) 328-3833
(662) 328-3275
Mailing address
306 ENTERPRISE DR, OXFORD, MS 38655-2762
(662) 550-2310
(833) 740-3917
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/10/2023
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