| Medical Arts Dental North Jackson | |
|
4801 Old Canton Rd Jackson MS 39211-5522 | |
| (601) 948-2073 | |
| (601) 354-8773 |
| Full Name | Medical Arts Dental North Jackson |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4801 Old Canton Rd, Jackson, Mississippi |
| Authorized Official Name and Position | Robert J Neely (DENTIST/OWNER) |
| Authorized Official Contact | 6019482073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Arts Dental North Jackson 4801 Old Canton Rd Jackson MS 39211-5522 Ph: (601) 948-2073 | Medical Arts Dental North Jackson 4801 Old Canton Rd Jackson MS 39211-5522 Ph: (601) 948-2073 |
| NPI Number | 1841565538 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841565538 | NPI | - | NPPES |
| 04831314 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 228886 (Mississippi) | Primary |
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