Medical Arts Dental North Jackson

LBN: Medical Arts Dental North Jackson
Medical Arts Dental North Jackson is an health care organization with primary practice located at 4801 Old Canton Rd , Jackson MS 39211-5522. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Medical Arts Dental North Jackson can be contacted via phone (601) 948-2073, or through Neely, Robert J via phone (601) 948-2073.

Contact Information

Primary practice address
4801 Old Canton Rd Jackson MS 39211-5522
Phone: (601) 948-2073
Fax: (601) 354-8773
Website:
Map and Directions
Authorized official contact:
Name: Neely, Robert J Doctor of Dental Medicine (DMD)
Phone: (601) 948-2073

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 228886 Mississippi

Profile Details

NPI number 1841565538
LBN Legal business name Medical Arts Dental North Jackson
DBA Doing business as
Authorized official Neely, Robert J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2012
Last updated Mar 14th, 2012 - about 14 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 1841565538 NPPES
Mississippi MEDICAID 04831314

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