Advance Dental Clinic

NPI #1073708913 in Jackson, Mississippi

Provider Information

NPI Number: 1073708913
Entity Type: Organization
Organization Name: Advance Dental Clinic
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 1555 E COUNTY LINE RD
City: Jackson
State: Mississippi
ZIP Code: 39211-1801
Phone: (601) 206-1112

Authorized Official

Name: DR. DENESSA V. TOOMBS, D.M.D.
Title: OWNER/MANAGER
Phone: (601) 206-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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