Taylorsville Family Dental
NPI #1013645746 in Taylorsville, Mississippi
Provider Information
- NPI Number
- 1013645746
- Entity Type
- Organization
- Organization Name
- Taylorsville Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 10, 2022
- Last Updated
- Aug 10, 2022
Practice Location
- Address
- 411 WILLIS ST
- City
- Taylorsville
- State
- Mississippi
- ZIP Code
- 39168-4550
- Phone
- (601) 340-9457
Authorized Official
- Name
- KELLY MILLER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (601) 271-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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