Oral & Maxillofacial Surgery Associates, Pa | |
971 Lakeland Dr Suite 225 Jackson MS 39216-4643 | |
(601) 366-7324 | |
(601) 366-0228 |
Full Name | Oral & Maxillofacial Surgery Associates, Pa |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 971 Lakeland Dr, Jackson, Mississippi |
Authorized Official Name and Position | Donald L Seago (PRESIDENT) |
Authorized Official Contact | 6013667324 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral & Maxillofacial Surgery Associates, Pa 971 Lakeland Dr Suite 225 Jackson MS 39216-4643 Ph: (601) 366-7324 | Oral & Maxillofacial Surgery Associates, Pa 971 Lakeland Dr Suite 225 Jackson MS 39216-4643 Ph: (601) 366-7324 |
NPI Number | 1871791228 |
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Provider Enumeration Date | 07/06/2007 |
Last Update Date | 10/26/2011 |
Identifier | Type | State | Issuer |
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1871791228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Mississippi) | Primary |
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Anderson Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 514-d East Woodrow Wilson Dr., Jackson, MS 39216 Phone: 601-366-1112 Fax: 601-366-6092 | |
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