| Lakeland Dental Care Pa | |
|
11 Lakeland Cir Jackson MS 39216-5006 | |
| (601) 981-8166 | |
| (601) 362-2164 |
| Full Name | Lakeland Dental Care Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 Lakeland Cir, Jackson, Mississippi |
| Authorized Official Name and Position | Alex Abernathy (PRESIDENT) |
| Authorized Official Contact | 6019818166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Dental Care Pa 11 Lakeland Cir Jackson MS 39216-5006 Ph: (601) 981-8166 | Lakeland Dental Care Pa 11 Lakeland Cir Jackson MS 39216-5006 Ph: (601) 981-8166 |
| NPI Number | 1235441353 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235441353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1792-78 (Mississippi) | Primary |
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