Provider Demographics
NPI:1184838997
Name:CASTLEWOODS DENTAL CLINIC, INC.
Entity Type:Organization
Organization Name:CASTLEWOODS DENTAL CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:601-992-9993
Mailing Address - Street 1:5403 CASTLEWOODS COURT
Mailing Address - Street 2:SUITE D
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232
Mailing Address - Country:US
Mailing Address - Phone:601-992-9993
Mailing Address - Fax:601-992-9130
Practice Address - Street 1:5403 CASTLEWOODS COURT
Practice Address - Street 2:SUITE D
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:601-992-9993
Practice Address - Fax:601-992-9130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty