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Organization

BIERDEMAN OTHODONTICS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARL LEE BIERDEMAN DMD (PRESIDENT)
(601) 981-3036
Entity
Organization

Contact information

Practice address
2680 RIVER RIDGE ROAD, JACKSON, MS 39216-5018
(601) 981-3036
(601) 981-2959
Mailing address
2680 RIVER RIDGE ROAD, JACKSON, MS 39216-5018
(601) 981-3036
(601) 981-2959

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR15188
MS

Other

Enumeration date
10/26/2007
Last updated
10/26/2007
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