Park Place Dental Iuka is a Dental Clinic in Iuka, Mississippi. It is located at 915 Battleground Dr, Iuka, MS and its contact number is 662-660-7142. The authorized person for Park Place Dental Iuka is Dr. Gerry Bowen Green
who is Partner of the clinic and their contact number is 662-660-7142. The primary license number for Park Place Dental Iuka is 3373-06 (General Practice) in Mississippi. Park Place Dental Iuka 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:
Park Place Dental Iuka 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:
Dr. Gerry Bowen Green
Position:
Partner
Contact Number:
662-660-7142
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 Park Place Dental Iuka clinic are as mentioned below.
NPI Number:
1982848446
NPI Enumeration Date:
28 Apr, 2009
NPI Last Update On:
28 Apr, 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 Park Place Dental Iuka are as mentioned below.
Specialization
License Number
State
Status
General Practice
3373-06
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
03253066
Medicaid
Mississippi
00064011
Medicaid
Mississippi
05973097
Medicaid
Mississippi
01234014
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:
Park Place Dental Iuka 915 Battleground Dr, Iuka, Mississippi
Zip:
38852-1320
Phone Number:
662-660-7142
Fax Number:
662-660-7145
Patients can reach Park Place Dental Iuka at 915 Battleground Dr, Iuka, Mississippi or can call to book an appointment on 662-660-7142. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.