Batesville Dental Clinic

NPI #1972756971 in Batesville, Mississippi

Provider Information

NPI Number: 1972756971
Entity Type: Organization
Organization Name: Batesville Dental Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: BATESVILLE DENTAL CLINIC
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2008
Last Updated: Nov 4, 2008

Practice Location

Address: 113 EUREKA ST
City: Batesville
State: Mississippi
ZIP Code: 38606-2534
Phone: (662) 563-7644

Authorized Official

Name: MRS. REBECCA J OWEN
Title: INSURANCE SECRETARY
Phone: (662) 563-7644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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