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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