Central Mississippi Civic Improvement Association in Jackson - Dental

Central Mississippi Civic Improvement Association - NPI 1598797888

Central Mississippi Civic Improvement Association is a Dental in Jackson, 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 1598797888. The last update date is 2020-08-22.

Central Mississippi Civic Improvement Association's current location address is 3502 W Northside Dr, Jackson, Mississippi. You can contact this provider via phone number 6013625321 and fax number 6013642100. The mailing address for Central Mississippi Civic Improvement Association is 3502 W Northside Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Central Mississippi Civic Improvement Association
Address 3502 W Northside Dr, Jackson, Mississippi
Phone Number 6013625321
Fax Number 6013642100
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1598797888
Provider Enumeration Date 2006-07-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3502 W Northside Dr
City Jackson
State Mississippi (MS)
Post Code 392134454
Phone Number 6013625321
Fax Number 6013642100

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
9016060 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?

The Central Mississippi Civic Improvement Association has been assigned the NPI (National Provider Identifier) 1598797888. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (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: 3502 W Northside Dr, Jackson, MS, 392134454.

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

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

On what date did the Central Mississippi Civic Improvement Association receive the assignment of its 1598797888 from the Centers for Medicare & Medicaid Services?

The Central Mississippi Civic Improvement Association was issued its 1598797888 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date were the details pertaining to Central Mississippi Civic Improvement Association last refreshed?

The information related to the Central Mississippi Civic Improvement Association, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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