Back Bay Family Dentistry
Back Bay Family Dentistry is a General Practice Dentistry in Diberville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.
- Licensed in
- MS
- In the registry since
- 2016
Practice location Address checks out
10409 Boney AveDiberville, MS 39540-4813
Phone: (228) 392-0509
Fax: (228) 392-8709
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 3553-10 (MS) |
|---|
Record details
| NPI number | 1316306988 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Parker — Owner · (228) 392-0509 |
| NPI enumerated | February 11, 2016 |
| Last updated in NPPES | February 11, 2016 |
| Mailing address | 10409 Boney Ave, Diberville, MS 39540-4813 |
Other providers in Diberville
-
Andrea L Davis DDS PC
11505 Cinema Dr Ste 6, Diberville, MS 39540-9704 · (228) 396-9000
-
Collin B Peterson DMD Dentistry PLLC
10409 Boney Ave, Diberville, MS 39540-4813 · (228) 216-7853
-
Dr. Germaine Nickole Gottsche, DMD
3950 Promenade Pkwy Ste E, Diberville, MS 39540-5367 · (228) 392-1960
-
Dr. Jeremy Wayne Parker, DMD
4299 Popps Ferry Rd, Diberville, MS 39540-2363 · (228) 392-0509
-
Milton Eduardo Torres Caban, DMD
3661 Sangani Blvd, Diberville, MS 39540-8706 · (228) 456-3197