Individual
JEFFREY LANE ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
131 S MAIN ST, DREW, MS 38737-3420
(662) 745-6669
(662) 745-6150
Mailing address
131 S MAIN ST, DREW, MS 38737-3420
(662) 745-6669
(662) 745-6150
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
252990
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060419
—
MS
Enumeration date
03/19/2007
Last updated
03/07/2023
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