Individual
DR. DAVID E SEAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
971 LAKELAND DRIVE, SUITE 225, JACKSON, MS 39216-4643
(601) 366-7324
(601) 366-0228
Mailing address
971 LAKELAND DRIVE, SUITE 225, JACKSON, MS 39216-4643
(601) 366-7324
(601) 366-0228
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
314100
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01436739
—
MS
Enumeration date
02/13/2007
Last updated
10/26/2011
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