NPI 1760525174

School of Dentistry

Organisation Local Education Agency (LEA) Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-6155
Fax: (601) 815-3901

Authorised official

Name: Gary Wayne Reeves
Title: Dean of Clinical Affairs
Phone: (601) 984-6155

Registered specialties

Local Education Agency (LEA) Primary

Agencies Taxonomy 251300000X

Other Local Education Agency (LEA) providers in Mississippi →

Registry record

NPI: 1760525174
Entity type: Organization
NPI issued: 15 Feb 2007
Record last updated: 22 Aug 2020

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.