Center Avenue Dental Care, Llc is a Dental Clinic in Sumrall, Mississippi. This organization is also known as sub part of Bishop & Bass, P.a.. It is located at 90 Center Ave, Sumrall, MS and its contact number is 601-758-3535. The authorized person for Center Avenue Dental Care, Llc is Dr. Roger Kyle Bass
who is President of the clinic and their contact number is 601-765-4355. The primary license number for Center Avenue Dental Care, Llc is 3287 (General Practice) in Mississippi. Center Avenue Dental Care, Llc 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:
Center Avenue Dental Care, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Center Avenue Dental Care, Llc
Specialization:
General Practice Dentistry
Clinic Address:
90 Center Ave, Sumrall, Mississippi, 39482-5002
Phone:
601-758-3535
Fax:
601-758-9225
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. Roger Kyle Bass
Position:
President
Contact Number:
601-765-4355
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 Center Avenue Dental Care, Llc clinic are as mentioned below.
NPI Number:
1710127311
Parent Organization:
Bishop & Bass, P.a.
NPI Enumeration Date:
23 Feb, 2009
NPI Last Update On:
23 Feb, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Center Avenue Dental Care, Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
3287
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
02880272
Medicaid
Mississippi
01751273
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:
Center Avenue Dental Care, Llc 90 Center Ave, P.o. Box 217 Sumrall, Mississippi
Zip:
39482-5002
Phone Number:
601-758-3535
Fax Number:
601-758-9225
Patients can reach Center Avenue Dental Care, Llc at 90 Center Ave, Sumrall, Mississippi or can call to book an appointment on 601-758-3535. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.