Lifetime Dental Llc is a Dental Clinic in Greenwood, Mississippi. This organization is also known as sub part of Johnson Dental Clinic Inc. It is located at 910 Medallion Dr, Greenwood, MS and its contact number is 662-843-8353. The authorized person for Lifetime Dental Llc is Daryl Lance Johnson
who is Sole Proprietor of the clinic and their contact number is 662-843-8353. The primary license number for Lifetime Dental Llc is 2826-94 (Dentist) in Mississippi. Lifetime Dental Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Lifetime Dental Llc 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:
Daryl Lance Johnson
Position:
Sole Proprietor
Contact Number:
662-843-8353
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 Lifetime Dental Llc clinic are as mentioned below.
NPI Number:
1679024442
Parent Organization:
Johnson Dental Clinic Inc
NPI Enumeration Date:
17 Oct, 2016
NPI Last Update On:
17 Oct, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifetime Dental Llc are as mentioned below.
Specialization
License Number
State
Status
Dentist
2826-94
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
09015931
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:
Lifetime Dental Llc 1313 W Highway 8, Cleveland, Mississippi
Zip:
38732-2240
Phone Number:
662-843-8353
Fax Number:
662-843-8363
Patients can reach Lifetime Dental Llc at 910 Medallion Dr, Greenwood, Mississippi or can call to book an appointment on 662-843-8353. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.