Central Mississippi Civic Improvement Association in Hazlehurst - Dental

Central Mississippi Civic Improvement Association - NPI 1770515058

Central Mississippi Civic Improvement Association is a Dental in Hazlehurst, Mississippi. Central Mississippi Civic Improvement Association practices all healthcare services and medical treatments related to Dental. The NPI Number for Central Mississippi Civic Improvement Association is 1770515058. The last update date is 2009-05-12.

Central Mississippi Civic Improvement Association's current location address is 550 Caldwell Drive, Hazlehurst, Mississippi. You can contact this provider via phone number 6018941448 and fax number 6018942903. The mailing address for Central Mississippi Civic Improvement Association is 550 Caldwell Drive, Hazlehurst, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Mississippi Civic Improvement Association
Address 550 Caldwell Drive, Hazlehurst, Mississippi
Phone Number 6018941448
Fax Number 6018942903
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Chapman R. Jasmin
Credentials DDS
Telephone Number 6013625321

NPI Number Detail

NPI Number 1770515058
Provider Enumeration Date 2006-07-07
Last Updated Date 2009-05-12

Provider Mailing Address Detail

Address 550 Caldwell Drive
City Hazlehurst
State Mississippi (MS)
Post Code 39083
Phone Number 6018941448
Fax Number 6018942903

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9016170 MS --

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FAQs about Central Mississippi Civic Improvement Association

What is the unique identifier code issued to Central Mississippi Civic Improvement Association by the Centers for Medicare & Medicaid Services (CMS)?

The Central Mississippi Civic Improvement Association has been assigned the NPI (National Provider Identifier) 1770515058. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Central Mississippi Civic Improvement Association's facilities are geographically located?

The facilities of Central Mississippi Civic Improvement Association are physically situated at the following location: 550 Caldwell Drive, Hazlehurst, MS, 39083.

What is the area of specialization for Central Mississippi Civic Improvement Association, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Central Mississippi Civic Improvement Association is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770515058 to Central Mississippi Civic Improvement Association?

The Centers for Medicare & Medicaid Services assigned the 1770515058 to Central Mississippi Civic Improvement Association on 2006-07-07.

When was the Central Mississippi Civic Improvement Association's information last updated?

The Central Mississippi Civic Improvement Association's information was last updated on 2009-05-12.

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