Individual
MS. SILVANA SAGRA ESCALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
802 LAKELAND DR, JACKSON, MS 39216-4612
(689) 243-0635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419674
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2024
Last updated
08/27/2025
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