Organization
NOEL K. TOLER,JR.,D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL KENNEDY TOLER III D.M.D. (PRESIDENT)
(601) 981-3020
Entity
Organization
Contact information
Practice address
2600 RIVER RIDGE DR, JACKSON, MS 39216-5013
(601) 981-3020
Mailing address
2600 RIVER RIDGE DR, JACKSON, MS 39216-5013
(601) 981-3020
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2435-88
MS
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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