Organization
DOCKINS DENATLL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO ANDREA T DOCKINS D.D.S. (DENTIST)
(601) 982-0048
Entity
Organization
Contact information
Practice address
500I E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 982-0048
(601) 982-0388
Mailing address
500I E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 982-0048
(601) 982-0388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2819-94
MS
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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