| John P. Buchanan, Dmd, Pa | |
|
5800 Ridgewood Rd Suite 101 Jackson MS 39211-2667 | |
| (601) 956-9850 | |
| (601) 956-9852 |
| Full Name | John P. Buchanan, Dmd, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 5800 Ridgewood Rd, Jackson, Mississippi |
| Authorized Official Name and Position | John Philip Buchanan (PRESIDENT) |
| Authorized Official Contact | 6019569850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Buchanan, Dmd, Pa 5800 Ridgewood Rd Suite 101 Jackson MS 39211-2667 Ph: (601) 956-9850 | John P. Buchanan, Dmd, Pa 5800 Ridgewood Rd Suite 101 Jackson MS 39211-2667 Ph: (601) 956-9850 |
| NPI Number | 1336251669 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336251669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 217185 (Mississippi) | Primary |
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