CENTRAL MISSISSIPPI ORAL & MAXIOLLOFACIAL
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1821391202- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 971 LAKELAND DR STE 952, JACKSON, MS, 392164609
- Phone
- (601) 981-3111
- Fax
- (601) 981-3112
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: MS #1521