Organization · Type 2 NPI
Poplarville Dental Clinic
Dental Clinic/Center · Poplarville, MS
NPI number
1306142674
Active
Practice location
1718 South Main Street
Poplarville, MS 39470-4287
Fax (601) 795-0745
Mailing address
1718 S Main St, Mailing P O Box 73
Poplarville, MS 39470-4287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3142-00 (MS) |
Dental Clinic/Center: Definition to come...
About NPI 1306142674
Poplarville Dental Clinic's National Provider Identifier is 1306142674, issued on Feb 4, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Poplarville, MS. The record was last updated on Feb 4, 2011.