Mid South Dental Center of Jackson
NPI #1508958133 in Jackson, Mississippi
Provider Information
- NPI Number
- 1508958133
- Entity Type
- Organization
- Organization Name
- Mid South Dental Center of Jackson
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5685 HWY 18 WEST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39209
- Phone
- (601) 373-2404
Authorized Official
- Name
- BARINDER SINGH, BDS
- Title
- V.PRESIDENT/ DENTIST PARTNERSHIP
- Phone
- (601) 373-2404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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