Collier, John Alex

Collier, John Alex is an sole proprietor health care provider with primary practice located at 2162 S Lamar Blvd , Oxford MS 38655-5224. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Collier, John Alex can be contacted via phone (662) 236-1969.

Contact Information

Primary practice address
2162 S Lamar Blvd Oxford MS 38655-5224
Fax: (662) 513-5878
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2869-95 Mississippi

Profile Details

NPI number 1376672618
LBN Legal business name Collier, John Alex
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376672618 NPPES
Mississippi MEDICAID 00660152

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