Organization
MISSISSIPPI PERIODONTICS AND IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA CASKEY (OFFICE MANAGER)
(601) 856-1919
Entity
Organization
Contact information
Practice address
218 WEST JACKSON STREET, RIDGELAND, MS 39157
(601) 856-1919
(601) 856-1719
Mailing address
218 W JACKSON ST, RIDGELAND, MS 39157-2312
(601) 856-1919
(601) 856-1719
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1880-80
MS
1223P0300X
Periodontics
3551-10
MS
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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