Organization
JAMES R WOODSON III DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RANDALL WOODSON III DMD (OWNER)
(601) 988-6200
Entity
Organization
Contact information
Practice address
11 NORTHTOWN DR, SUITE 105, JACKSON, MS 39211-3699
(601) 988-6200
(601) 988-6203
Mailing address
11 NORTHTOWN DR, SUITE 105, JACKSON, MS 39211-3699
(601) 988-6200
(601) 988-6203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3200-01
MS
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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