Individual
DR. JAMES JOEL DRUMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
1703 23RD AVE, MERIDIAN, MS 39301-3104
(601) 484-6725
(601) 484-5083
Mailing address
1703 23RD AVE, MERIDIAN, MS 39301-3104
(601) 484-6725
(601) 484-5083
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
16843
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2820-94
MS
174400000X
Specialist
OS-339-00
MS
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
16843
MS
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2820-94
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123549
—
MS
01
—
704900
UNITED CONCORDIA
MS
01
—
P00618912
MEDICARE PTAN
MS
Enumeration date
03/07/2007
Last updated
02/05/2013
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