NPI 1073708913

Advance Dental Clinic

Organisation Dentist Jackson, MS

Practice location

Address: 1555 E County Line Rd, Jackson, MS 39211-1801
Phone: (601) 206-1112
Fax: (601) 206-1114

Authorised official

Name: Denessa V. Toombs
Title: Owner/Manager
Phone: (601) 206-1112

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3314-04 (MS)

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Registry record

NPI: 1073708913
Entity type: Organization
NPI issued: 13 Sep 2007
Record last updated: 13 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.