Central Mississippi Civic Improvement Association in Jackson - Dental
Central Mississippi Civic Improvement Association - NPI 1790717080
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 1790717080. The last update date is 2011-04-25.
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. 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 | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Chapman Jasmin |
| Credentials | DDS |
| Telephone Number | 6013625321 |
NPI Number Detail
| NPI Number | 1790717080 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2011-04-25 |
Provider Mailing Address Detail
| Address | 3502 W Northside Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392134454 |
| Phone Number | 6013625321 |
| Fax Number |
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 |
|---|---|---|---|
| 9013452 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1790717080 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Central Mississippi Civic Improvement Association located?
The Central Mississippi Civic Improvement Association is located at 3502 W Northside Dr, Jackson, MS 392134454.
What is Central Mississippi Civic Improvement Association's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Central Mississippi Civic Improvement Association is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When was the Central Mississippi Civic Improvement Association's 1790717080 issued?
The Central Mississippi Civic Improvement Association's 1790717080 was issued on 2006-07-07.
When was the information pertaining to Central Mississippi Civic Improvement Association most recently updated or revised?
The details related to Central Mississippi Civic Improvement Association, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY