Individual
JEFFREY MICHAEL NIOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
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
1223G0001X
General Practice Dentistry
Primary
3144-00
MS
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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