Individual
JIMMY F VESSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 MISSION 66, VICKSBURG, MS 39183-2753
(601) 636-6081
(601) 638-5482
Mailing address
1011 MISSION 66, VICKSBURG, MS 39183-2753
(601) 636-6081
(601) 638-5482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
930-59
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064667
—
MS
01
—
226519
TRIGON
MS
01
—
517629
UNITED CONCORDIA
MS
01
—
930
DELTA DENTAL
MS
Enumeration date
03/28/2006
Last updated
07/08/2007
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