Organization · Type 2 NPI
Summit Family Dentistry PLLC
Dental Clinic/Center · Summit, MS
NPI number
1700051455
Active
Practice location
103 Laurel Street
Summit, MS 39666
Fax (601) 276-7929
Mailing address
PO Box 789
Summit, MS 39666-0789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 1766-77 (MS) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1700051455
Summit Family Dentistry PLLC's National Provider Identifier is 1700051455, issued on Apr 24, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Summit, MS. The record was last updated on Apr 24, 2008.