W Mike Dennis in Jackson - Dentist

W Mike Dennis - NPI 1619157724

W Mike Dennis is a Dentist in Jackson, Mississippi. W Mike Dennis practices all healthcare services and medical treatments related to Dentist. The NPI Number for W Mike Dennis is 1619157724. The last update date is 2007-11-06.

W Mike Dennis's current location address is 4801 Old Canton Road, Jackson, Mississippi. You can contact this provider via phone number 6019817122 and fax number 6019810569. The mailing address for W Mike Dennis is 4801 Old Canton Road, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name W Mike Dennis
Address 4801 Old Canton Road, Jackson, Mississippi
Phone Number 6019817122
Fax Number 6019810569
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1619157724
Provider Enumeration Date 2007-11-06
Last Updated Date 2007-11-06

Provider Mailing Address Detail

Address 4801 Old Canton Road
City Jackson
State Mississippi (MS)
Post Code 39211
Phone Number 6019817122
Fax Number 6019810569

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 149072
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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FAQs about W Mike Dennis

What is the unique provider identifier assigned to W Mike Dennis?

The W Mike Dennis has been issued the NPI (National Provider Identifier) 1619157724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where W Mike Dennis's facilities are geographically located?

The facilities of W Mike Dennis are physically situated at the following location: 4801 Old Canton Road, Jackson, MS, 39211.

What is the W Mike Dennis's area of specialization and corresponding taxonomy classification?

The W Mike Dennis's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619157724 to W Mike Dennis?

The Centers for Medicare & Medicaid Services originally issued the 1619157724 to W Mike Dennis on 2007-11-06.

When was the information regarding W Mike Dennis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to W Mike Dennis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-06.

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