NPI 1083343065

Meredith Douglass, DMD

Practitioner Dentist Ridgeland, MS

Practice location

Address: 7048 Old Canton Rd, Ridgeland, MS 39157-1008
Phone: (601) 853-8904
Mailing address: 4644 Katherine Blvd, Jackson, MS 39211-5855

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4275-22 (MS)

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Registry record

NPI: 1083343065
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2022
Record last updated: 6 Jun 2022

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.