| Medical Arts Dental Group P.a. | |
|
1151 N State St Suite 401 Jackson MS 39202-2407 | |
| (601) 948-2073 | |
| (601) 354-8773 |
| Full Name | Medical Arts Dental Group P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1151 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Robert Jerry Neely (OWNER/ DENTIST) |
| Authorized Official Contact | 6019482073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Arts Dental Group P.a. 1151 N State St Suite 401 Jackson MS 39202-2407 Ph: (601) 948-2073 | Medical Arts Dental Group P.a. 1151 N State St Suite 401 Jackson MS 39202-2407 Ph: (601) 948-2073 |
| NPI Number | 1659539351 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659539351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 228886 (Mississippi) | Primary |
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