Individual
DR. JEFFREY WILLIAM OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
210 MAIN STREET, COLLINS, MS 39428
(601) 765-5140
Mailing address
PO BOX 296, COLLINS, MS 39428-0296
(601) 765-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MS3220-02
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660440
—
MS
Enumeration date
02/13/2007
Last updated
07/09/2007
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