| Michael T. Tramel, D. D. S. P.a. | |
|
2525 Lakeward Dr Ste 102 Jackson MS 39216-4827 | |
| (601) 982-7212 | |
| Not Available |
| Full Name | Michael T. Tramel, D. D. S. P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2525 Lakeward Dr Ste 102, Jackson, Mississippi |
| Authorized Official Name and Position | Michael T Tramel (PRESIDENT) |
| Authorized Official Contact | 6019827212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T. Tramel, D. D. S. P.a. 2525 Lakeward Dr Ste 102 Jackson MS 39216-4827 Ph: (601) 982-7212 | Michael T. Tramel, D. D. S. P.a. 2525 Lakeward Dr Ste 102 Jackson MS 39216-4827 Ph: (601) 982-7212 |
| NPI Number | 1689816407 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689816407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 318301 (Mississippi) | Secondary |
| 1223G0001X | Dentist - General Practice | 220585 (Mississippi) | Primary |
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