South Delta Dental Clinic, LLC
South Delta Dental Clinic, LLC provides General Practice Dentistry in Rolling Fork, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
21 S Fourth StRolling Fork, MS 39159-5146 Not confirmed with CMS for 14 years — call before visiting
Phone: (662) 873-5170
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 360411 (MS) |
|---|
Record details
| NPI number | 1902162811 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Murphy — Chief Operating Officer · (601) 955-7970 |
| NPI enumerated | April 4, 2012 |
| Last updated in NPPES | April 4, 2012 |
| Mailing address | 21 S Fourth St, Rolling Fork, MS 39159-5146 |