Individual
DR. JESSICA PONGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
2408 S LAMAR BLVD STE 2, OXFORD, MS 38655-5345
(662) 234-4822
Mailing address
2408 S LAMAR BLVD STE 2, OXFORD, MS 38655-5345
(662) 234-4822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3787-15
MS
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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