Organization · Type 2 NPI
Family Dental Care
Dental Clinic/Center · Indianola, MS
NPI number
1679063176
Active
Practice location
501 Park Ave
Indianola, MS 38751
Mailing address
PO Box 972
Indianola, MS 38751-0972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 273893 (MS) |
| Dental Clinic/Center | 261QD0000X | 392117 (MS) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1679063176
Family Dental Care's National Provider Identifier is 1679063176, issued on May 10, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianola, MS. The record was last updated on Jun 20, 2018.