School of Dentistry
NPI #1760525174 in Jackson, Mississippi
Provider Information
- NPI Number
- 1760525174
- Entity Type
- Organization
- Organization Name
- School of Dentistry
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 984-6155
Authorized Official
- Name
- DR. GARY WAYNE REEVES, DMD
- Title
- DEAN OF CLINICAL AFFAIRS
- Phone
- (601) 984-6155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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