Individual
DR. JEREMY WAYNE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4299 POPPS FERRY RD, DIBERVILLE, MS 39540-2363
(228) 392-0509
(228) 392-8709
Mailing address
4299 POPPS FERRY RD, DIBERVILLE, MS 39540-2363
(228) 392-0509
(228) 392-8709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3553-10
MS
Other
Enumeration date
07/01/2010
Last updated
06/04/2021
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