| Van Meter Oral Surgery, Llc | |
|
300 Maxey Dr Brandon MS 39042-2576 | |
| (601) 825-0021 | |
| (601) 825-0081 |
| Full Name | Van Meter Oral Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 300 Maxey Dr, Brandon, Mississippi |
| Authorized Official Name and Position | Charles Jackson Van Meter (ORAL SURGEON) |
| Authorized Official Contact | 6018250021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Meter Oral Surgery, Llc 300 Maxey Dr Brandon MS 39042-2576 Ph: (601) 825-0021 | Van Meter Oral Surgery, Llc 300 Maxey Dr Brandon MS 39042-2576 Ph: (601) 825-0021 |
| NPI Number | 1851725816 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851725816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS-466-13 (Mississippi) | Primary |
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