| Mississippi Periodontics And Implants Pllc | |
|
218 West Jackson Street Ridgeland MS 39157 | |
| (601) 856-1919 | |
| (601) 856-1719 |
| Full Name | Mississippi Periodontics And Implants Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 218 West Jackson Street, Ridgeland, Mississippi |
| Authorized Official Name and Position | Patricia Caskey (OFFICE MANAGER) |
| Authorized Official Contact | 6018561919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Periodontics And Implants Pllc 218 W Jackson St Ridgeland MS 39157-2312 Ph: (601) 856-1919 | Mississippi Periodontics And Implants Pllc 218 West Jackson Street Ridgeland MS 39157 Ph: (601) 856-1919 |
| NPI Number | 1497112825 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497112825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3551-10 (Mississippi) | Secondary |
| 1223P0300X | Dentist - Periodontics | 1880-80 (Mississippi) | Primary |
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