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Individual

JERRY DWIGHT TURNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D. D. S.

Contact information

Practice address
303 HOSPITAL RD, STARKVILLE, MS 39759-2155
(662) 323-1339
(662) 324-0554
Mailing address
PO BOX 266, STARKVILLE, MS 39760-0266
(662) 323-9794

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1495-72
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00062808
MS
01
26842
UNITED CONCORDIA
MS
01
730-12563
BCBS OF AL
AL
Enumeration date
07/20/2005
Last updated
07/08/2007
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