Nettleton Dental LLC
NPI #1780303677 in Nettleton, Mississippi
Provider Information
- NPI Number
- 1780303677
- Entity Type
- Organization
- Organization Name
- Nettleton Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 24, 2022
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 228 MAIN ST
- City
- Nettleton
- State
- Mississippi
- ZIP Code
- 38858-6012
- Phone
- (662) 963-7338
Authorized Official
- Name
- DR. AMBRIE GOODMAN, DMD
- Title
- DENTIST
- Phone
- (662) 571-8760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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