Organization
LAKELAND DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX ABERNATHY DDS (PRESIDENT)
(601) 981-8166
Entity
Organization
Contact information
Practice address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Mailing address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1792-78
MS
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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