Jackson Dental Care, Pllc

LBN: Jackson Dental Care, Pllc
Jackson Dental Care, Pllc is an health care organization with primary practice located at 2655 Lakeland Dr , Flowood MS 39232-9516. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jackson Dental Care, Pllc can be contacted via phone (601) 932-8212, or through Walker, Shirley G via phone (601) 932-8212.

Contact Information

Primary practice address
2655 Lakeland Dr Flowood MS 39232-9516
Phone: (601) 932-8212
Fax: (601) 939-8169
Website:
Map and Directions
Authorized official contact:
Name: Walker, Shirley G
Phone: (601) 932-8212

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 192481 Mississippi
Dental Providers / Dentist 122300000X 235987 Mississippi

Profile Details

NPI number 1386867414
LBN Legal business name Jackson Dental Care, Pllc
DBA Doing business as
Authorized official Walker, Shirley G
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386867414 NPPES
Mississippi Other 208026392 TAX ID#
Mississippi Other 1285640383 TAX ID#
Mississippi Other 1669488763 TAX ID#

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