# JOHN P. BUCHANAN, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336251669
- **Authorized official:** DR. JOHN PHILIP BUCHANAN D.M.D. (PRESIDENT)
- **Authorized official phone:** (601) 956-9850

## Contact information

- **Practice address:** 5800 RIDGEWOOD RD, SUITE 101, JACKSON, MS 39211-2667
- **Practice address phone:** (601) 956-9850
- **Practice address fax:** (601) 956-9852
- **Mailing address:** 5800 RIDGEWOOD RD, SUITE 101, JACKSON, MS 39211-2667
- **Mailing address phone:** (601) 956-9850
- **Mailing address fax:** (601) 956-9852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 217185 | MS | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020