Autumn Ridge Dental Partnership is a Dental Clinic in Kosciusko, Mississippi. It is located at 101 Ridgewood Cir, Kosciusko, MS and its contact number is 662-289-7076. The authorized person for Autumn Ridge Dental Partnership is Dr. Donald Q Weaver
who is Partner of the clinic and their contact number is 662-289-7076. The primary license number for Autumn Ridge Dental Partnership is 1686-75 (General Practice) in Mississippi.
Autumn Ridge Dental Partnership Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Autumn Ridge Dental Partnership Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Autumn Ridge Dental Partnership |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 101 Ridgewood Cir, Kosciusko,
Mississippi, 39090-3265 |
| Phone: | 662-289-7076 |
| Fax: | 662-289-7050 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Donald Q Weaver |
| Position: | Partner |
| Contact Number: | 662-289-7076 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Autumn Ridge Dental Partnership clinic are as mentioned below.
| NPI Number: | 1275750531 |
| NPI Enumeration Date: | 19 Apr, 2007 |
| NPI Last Update On: | 03 Jan, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Autumn Ridge Dental Partnership are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 1686-75 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09014559 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Autumn Ridge Dental Partnership
101 Ridgewood Cir,
Kosciusko, Mississippi |
| Zip: | 39090-3265 |
| Phone Number: | 662-289-7076 |
| Fax Number: | 662-289-7050 |
Patients can reach Autumn Ridge Dental Partnership at
101 Ridgewood Cir, Kosciusko, Mississippi or can
call to book an appointment on 662-289-7076.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.