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NPI 1265779052

OrganizationActive

Grants Ferry Family Dentistry

NPI 1265779052 · Dental Clinic/Center · Brandon, MS

Provider details

NPI number: 1265779052
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Carla Rushing, Owner
License: 3276-03 (MS)

Practice location

1075 Lake Village Cir

Brandon, MS 39047-6743

Phone: (601) 992-1605

Fax: (601) 992-9534

More MS providers

Mailing address

1075 Lake Village Cir

Brandon, MS 39047-6743

Registry dates

Enumerated: 2013-01-14
Last updated: 2013-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Grants Ferry Family Dentistry — NPI 1265779052, Brandon, MS | NPI Central