Individual
DR. TERESA MANOGIN-BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4550 MANHATTAN RD, JACKSON, MS 39206-6022
(601) 362-0460
(601) 362-1194
Mailing address
4550 MANHATTAN RD, JACKSON, MS 39206-6022
(601) 362-0460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
283394
MS
1223G0001X
General Practice Dentistry
6723
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660139
—
MS
05
—
3434661
—
LA
Enumeration date
01/10/2007
Last updated
05/19/2025
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