Raleigh Dental Clinic

NPI #1679660492 in Raleigh, Mississippi

Provider Information

NPI Number: 1679660492
Entity Type: Organization
Organization Name: Raleigh Dental Clinic
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 207 SYLVARENA AVE
City: Raleigh
State: Mississippi
ZIP Code: 39153
Phone: (601) 782-9206

Authorized Official

Name: DR. BOBBY D MADDOX, DDS
Title: DENTIST/OWNER
Phone: (601) 782-9206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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