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Organization
VAN METER ORAL SURGERY, LLC
Active
Organization
VAN METER ORAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JACKSON VAN METER III DMD, MD (ORAL SURGEON)
(601) 825-0021
Entity
Organization
Contact information
Practice address
300 MAXEY DR, BRANDON, MS 39042-2576
(601) 825-0021
(601) 825-0081
Mailing address
300 MAXEY DR, BRANDON, MS 39042-2576
(601) 825-0021
(601) 825-0081
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OS-466-13
MS
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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