| Bierdeman Othodontics Pa | |
|
2680 River Ridge Road Jackson MS 39216-5018 | |
| (601) 981-3036 | |
| (601) 981-2959 |
| Full Name | Bierdeman Othodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2680 River Ridge Road, Jackson, Mississippi |
| Authorized Official Name and Position | Karl Lee Bierdeman (PRESIDENT) |
| Authorized Official Contact | 6019813036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bierdeman Othodontics Pa 2680 River Ridge Road Jackson MS 39216-5018 Ph: (601) 981-3036 | Bierdeman Othodontics Pa 2680 River Ridge Road Jackson MS 39216-5018 Ph: (601) 981-3036 |
| NPI Number | 1194904094 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194904094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | OR15188 (Mississippi) | Primary |
Bender Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4550 Manhattan Rd, Jackson, MS 39206 Phone: 601-362-0460 | |
Anderson Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514-d East Woodrow Wilson Dr., Jackson, MS 39216 Phone: 601-366-1112 Fax: 601-366-6092 | |
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