Individual
DR. ALEX STEPHENS ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 LAKELAND CIR, JACKSON, MS 39216-5006
(601) 981-8166
(601) 362-2164
Mailing address
302 BRITTON RUN, MADISON, MS 39110-9698
(601) 856-1949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1792-78
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1792-78
DENTAL LICENSE NUMBER
MS
Enumeration date
05/22/2007
Last updated
03/07/2023
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