NPI 1003594938

Barbara Daniela Olivos Bazaes, DDSMS

Practitioner Dentist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-6110
Mailing address: 206 Comstock Ln, Madison, MS 39110-8364

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence PVRTP11923 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1003594938
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2023
Record last updated: 10 Jul 2023

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.