Back Bay Family Dentistry is a Dental Clinic in Diberville, Mississippi. It is located at 10409 Boney Ave, Diberville, MS and its contact number is 228-392-0509. The authorized person for Back Bay Family Dentistry is Jeremy W Parker
who is Owner of the clinic and their contact number is 228-392-0509. Other organizations associated with this clinic are Steven K Miner, Back Bay Family Dentistry, The primary license number for Back Bay Family Dentistry is 3553-10 (General Practice) in Mississippi. Back Bay Family Dentistry 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:
Back Bay Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Jeremy W Parker
Position:
Owner
Contact Number:
228-392-0509
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 Back Bay Family Dentistry clinic are as mentioned below.
NPI Number:
1316306988
NPI Enumeration Date:
11 Feb, 2016
NPI Last Update On:
11 Feb, 2016
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Steven K Miner
Dentistry
1023485851
Back Bay Family Dentistry
General Practice Dentistry
1316306988
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Back Bay Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
3553-10
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
09424204
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:
Back Bay Family Dentistry 10409 Boney Ave, Diberville, Mississippi
Zip:
39540-4813
Phone Number:
228-392-0509
Fax Number:
228-392-8709
Patients can reach Back Bay Family Dentistry at 10409 Boney Ave, Diberville, Mississippi or can call to book an appointment on 228-392-0509. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.