| Simmons And Young, Pllc | |
|
1855 Crane Ridge Dr Jackson MS 39216-4944 | |
| (601) 982-8585 | |
| (601) 981-2323 |
| Full Name | Simmons And Young, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1855 Crane Ridge Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Joseph Spencer Young (PARTNER) |
| Authorized Official Contact | 6019828585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simmons And Young, Pllc 1855 Crane Ridge Dr Jackson MS 39216-4944 Ph: (601) 982-8585 | Simmons And Young, Pllc 1855 Crane Ridge Dr Jackson MS 39216-4944 Ph: (601) 982-8585 |
| NPI Number | 1265453138 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265453138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | PEDO 1-70 (Mississippi) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | PEDO 61-83 (Mississippi) | Primary |
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