Jcc, LLC
NPI #1669850004 in Hernando, Mississippi
Provider Information
- NPI Number
- 1669850004
- Entity Type
- Organization
- Organization Name
- Jcc, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 18, 2015
- Last Updated
- May 18, 2015
Practice Location
- Address
- 1150 MONTEITH AVENUE
- Address 2
- SUITE 102
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632
- Phone
- (662) 298-2095
Authorized Official
- Name
- DR. JASON COLEMAN, DMD
- Title
- OWNER
- Phone
- (662) 298-2095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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