Dockins Denatll, Llc | |
500i E Woodrow Wilson Ave Jackson MS 39216-4538 | |
(601) 982-0048 | |
(601) 982-0388 |
Full Name | Dockins Denatll, Llc |
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Speciality | Dentist |
Location | 500i E Woodrow Wilson Ave, Jackson, Mississippi |
Authorized Official Name and Position | Jo Andrea T Dockins (DENTIST) |
Authorized Official Contact | 6019820048 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dockins Denatll, Llc 500i E Woodrow Wilson Ave Jackson MS 39216-4538 Ph: (601) 982-0048 | Dockins Denatll, Llc 500i E Woodrow Wilson Ave Jackson MS 39216-4538 Ph: (601) 982-0048 |
NPI Number | 1023281300 |
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Provider Enumeration Date | 04/08/2008 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023281300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2819-94 (Mississippi) | Primary |
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