Individual
DR. ALLEN MAX METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2500 N STATE ST, UNIVERSITY DENTISTS, PLLC, JACKSON, MS 39216-4500
(601) 984-6185
(601) 984-6187
Mailing address
2500 N STATE ST, UMC SCHOOL OF DENTISTRY, JACKSON, MS 39216-4500
(601) 984-6030
(601) 984-6039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2497-89
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66342
—
MS
Enumeration date
05/31/2007
Last updated
07/08/2007
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