Ellisville Family Dental Center PA
Ellisville Family Dental Center PA provides General Practice Dentistry in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
401 Highway 11 SEllisville, MS 39437-3103 Not confirmed with CMS for 10 years — call before visiting
Phone: (601) 477-3771
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2366-87 (MS) |
|---|
Record details
| NPI number | 1033269840 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Surber — Owner · (601) 477-3771 |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | August 31, 2016 |
| Mailing address | 401 Highway 11 S, Ellisville, MS 39437-3103 |
Other providers in Ellisville
-
Dr. Weslie Ann Blackledge, DMD
97 Hal Crocker Rd, Ellisville, MS 39437-2088 · (601) 477-3779
-
Dental Group of Ellisville, PLLC
97 Hal Crocker Rd, Ellisville, MS 39437 · (601) 477-3779
-
Dr. Alecia A Moore, DMD
97 Hal Crocker Rd, Ellisville, MS 39437-2088 · (601) 477-3779
-
Stephen L Surber, DMD
401 Highway 11 S, Ellisville, MS 39437-3103 · (601) 477-3771