Jackson Dental Care, Pllc

NPI #1386867414 in Flowood, Mississippi

Provider Information

NPI Number: 1386867414
Entity Type: Organization
Organization Name: Jackson Dental Care, Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 10, 2007
Last Updated: Jun 18, 2008

Practice Location

Address: 2655 LAKELAND DR
City: Flowood
State: Mississippi
ZIP Code: 39232-9516
Phone: (601) 932-8212

Authorized Official

Name: MRS. SHIRLEY G WALKER
Title: OFFICE MANAGER
Phone: (601) 932-8212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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