is a Dentist in Jackson, Mississippi. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1881851772. The last update date is .
's current location address is 4510 Hanging Moss Rd, Jackson, Mississippi. You can contact this provider via phone number 6019822124 and fax number 6019822135. The mailing address for is 4510 Hanging Moss Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4510 Hanging Moss Rd, Jackson, Mississippi |
| Phone Number | 6019822124 |
| Fax Number | 6019822135 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881851772 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4510 Hanging Moss Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392063962 |
| Phone Number | 6019822124 |
| Fax Number | 6019822135 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2513-89 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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