Individual
JAMIE AINSWORTH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3823 HIGHWAY 80 E STE 400, PEARL, MS 39208-4275
(601) 488-1395
Mailing address
185 VINE DR, BRANDON, MS 39047-9192
(601) 951-3598
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4273-22
MS
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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