| Camille Sandifer, Dmd, Msd Inc | |
|
4500 I 55 N Highland Village #247 Jackson MS 39211-5930 | |
| (601) 981-5004 | |
| (601) 981-0501 |
| Full Name | Camille Sandifer, Dmd, Msd Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4500 I 55 N, Jackson, Mississippi |
| Authorized Official Name and Position | Lyndsey Camille Sandifer (PRESIDENT/DOCTOR) |
| Authorized Official Contact | 6019815004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camille Sandifer, Dmd, Msd Inc 4500 I 55 N Highland Village #247 Jackson MS 39211-5930 Ph: (601) 981-5004 | Camille Sandifer, Dmd, Msd Inc 4500 I 55 N Highland Village #247 Jackson MS 39211-5930 Ph: (601) 981-5004 |
| NPI Number | 1134569981 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134569981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | OR-458-12 (Mississippi) | Primary |
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