OrganizationActive
Heritage Family Dental
NPI 1699358739 · Dental Clinic/Center · Quitman, MS
Provider details
- NPI number
- 1699358739
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Miller, Credentialing Specialist(601) 271-8710
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
303 S Archusa Ave # a
Quitman, MS 39355-2325
Phone: (601) 776-6630
Approximate (ZIP-level) locationGet directions
Mailing address
303 S Archusa Ave # a
Quitman, MS 39355-2325
Registry dates
- Enumerated
- 2021-05-05
- Last updated
- 2021-05-05
- Certified
- 2021-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.