Dockins Denatll, LLC

NPI #1023281300 in Jackson, Mississippi

Provider Information

NPI Number: 1023281300
Entity Type: Organization
Organization Name: Dockins Denatll, LLC
Primary Specialty: Dentist
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 500I E WOODROW WILSON AVE
City: Jackson
State: Mississippi
ZIP Code: 39216-4538
Phone: (601) 982-0048

Authorized Official

Name: DR. JO ANDREA T DOCKINS, D.D.S.
Title: DENTIST
Phone: (601) 982-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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