Dr. CHARLES JACKSON VAN METER III DMD, MD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1689831125- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD, MD
- Status
- Active
Contact & Location
- Address
- 300 MAXEY DR, BRANDON, MS, 390422576
- Phone
- (601) 665-0411
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: LA #5853
Dentist, Oral and Maxillofacial Surgery
Primary License: MS #0S466-13