Organization
COLLINS FAMILY DENTAL CARE
Active
Other names
Bishop & Bass, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER KYLE BASS (CO-OWNER)
(601) 765-4355
Entity
Organization
Contact information
Practice address
103 S. FIR STREET, COLLINS, MS 39428
(601) 765-4355
(601) 765-4745
Mailing address
P.O. BOX 1508, COLLINS, MS 39428
(601) 765-4355
(601) 765-4745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2006
Last updated
04/03/2020
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