NPI 1336320795

Oral Pathology Services-Umc

Organisation Dental Laboratory Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-6194
Fax: (601) 815-3901

Authorised official

Name: Stacy Brookerd
Title: Manager, Business Operations
Phone: (601) 984-6094

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

Other Dental Laboratory providers in Mississippi →

Registry record

NPI: 1336320795
Entity type: Organization
NPI issued: 14 Nov 2007
Record last updated: 26 Jan 2012

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.