Ks2 Ms, PC
NPI #1023241767 in Jackson, Mississippi
Provider Information
- NPI Number
- 1023241767
- Entity Type
- Organization
- Organization Name
- Ks2 Ms, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 28, 2009
- Last Updated
- Jan 7, 2019
Practice Location
- Address
- 4463 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-5306
- Phone
- (800) 920-9947
Authorized Official
- Name
- DR. DALE G MAYFIELD, DMD
- Title
- PRESIDENT
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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