Heritage Family Dental
Organization Active NPI Dental Clinic/Center · Quitman, MS
NPI 1699358739 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1699358739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- HERITAGE FAMILY DENTAL
- Practice address
- 303 S Archusa Ave # a
Quitman, MS 39355-2325 - Phone
- (601) 776-6630
- NPI assigned
- May 5, 2021
- Organization subpart
- No
Authorized official
- Name
- Kelly Miller
- Title
- Credentialing Specialist
- Phone
- (601) 271-8710
Practitioners 1
-
Hunter Hawkins, DMD
National Provider Directory
Locations
303 S Archusa Ave
#A
Quitman, MS 39355
Phone (601) 776-6630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
303 S Archusa Ave # a
Quitman, MS 39355-2325
Mailing address
303 S Archusa Ave # a
Quitman, MS 39355-2325
Phone (601) 776-6630
Other providers in Quitman, MS
- Lakisha Gibson
- Glenn M Cochran OD PLLC
- Hammack Drugs, LLC
- Bobby Harris
- Heavenly in Homecare LLC
- David M Holifield
- Mary Ann Hollingsworth
- Patsy Lenan Holloway
- Hospice Care Group, LLC
- Jones Family Medicine Clinic, PLLC
All providers in Quitman, MS · Dental Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.