Decatur Dental, LLC
Decatur Dental, LLC is a Dental Clinic/Center in Decatur, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.
- Licensed in
- MS
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
68 Fourth AveDecatur, MS 39327-9713
Phone: (601) 635-2340
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
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 3402-06 (MS) |
|---|
Record details
| NPI number | 1073985925 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jim Polles — Owner · (601) 362-1118 |
| NPI enumerated | October 30, 2015 |
| Last updated in NPPES | October 30, 2015 |
| Mailing address | 1836 Crane Ridge Dr, Suite A, Jackson, MS 39216-4901 |