Organization
JEFFREY M. NIOLET, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNIE DAVIS (FRONT OFFICE)
(228) 864-8711
Entity
Organization
Contact information
Practice address
300 E RAILROAD ST, LONG BEACH, MS 39560-4722
(228) 864-8711
(228) 864-3765
Mailing address
300 E RAILROAD ST, LONG BEACH, MS 39560-4722
(228) 864-8711
(228) 864-3765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
314400
MS
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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