Quitman Family Dental, Pllc

LBN: Quitman Family Dental, Pllc
Quitman Family Dental, Pllc is an health care organization with primary practice located at 105 E Donald St , Quitman MS 39355-2342. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Quitman Family Dental, Pllc can be contacted via phone (601) 776-2511, or through Martin, William Brock via phone (601) 776-2511.

Contact Information

Primary practice address
105 E Donald St Quitman MS 39355-2342
Phone: (601) 776-2511
Fax: (601) 776-8993
Website:
Map and Directions
Authorized official contact:
Name: Martin, William Brock DMD, JD
Phone: (601) 776-2511

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1841-79 Mississippi
Dental Providers / General Practice 1223G0001X 3396-06 Mississippi

Profile Details

NPI number 1215205331
LBN Legal business name Quitman Family Dental, Pllc
DBA Doing business as
Authorized official Martin, William Brock DMD, JD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2011
Last updated Dec 3rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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