Vessell, Jimmy F

Vessell, Jimmy F is an individual health care provider with primary practice located at 1011 Mission 66 , Vicksburg MS 39183-2753. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vessell, Jimmy F can be contacted via phone (601) 636-6081.

Contact Information

Primary practice address
1011 Mission 66 Vicksburg MS 39183-2753
Phone: (601) 636-6081
Fax: (601) 638-5482
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 930-59 Mississippi

Profile Details

NPI number 1134180557
LBN Legal business name Vessell, Jimmy F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
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 1134180557 NPPES
Mississippi Other 930 DELTA DENTAL
Mississippi MEDICAID 00064667 DELTA DENTAL
Mississippi Other 226519 DELTA DENTAL
Mississippi Other 517629 DELTA DENTAL

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