| Jackson Metro Dental Llc | |
|
102 Wall St Lexington MS 39095-3540 | |
| (662) 834-1585 | |
| (662) 834-1583 |
| Full Name | Jackson Metro Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Wall St, Lexington, Mississippi |
| Authorized Official Name and Position | Jim H Polles (DENTIST) |
| Authorized Official Contact | 6628341585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Metro Dental Llc Po Box 297 102 Wall Street Lexington MS 39095-0297 Ph: (662) 834-1585 | Jackson Metro Dental Llc 102 Wall St Lexington MS 39095-3540 Ph: (662) 834-1585 |
| NPI Number | 1801277207 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801277207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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