DR. Jeffery Dale Hartsog, DMD
NPI #1518969633 in Jackson, Mississippi
Provider Information
- NPI Number
- 1518969633
- Entity Type
- Individual
- Name
- DR. Jeffery Dale Hartsog, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1437 OLD SQUARE RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-5535
- Phone
- (601) 362-1685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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