Individual
DR. JEANA E CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D D S
Contact information
Practice address
17215 HIGHWAY 26 W, LUCEDALE, MS 39452-9035
(601) 947-4828
(601) 947-4829
Mailing address
17215 HIGHWAY 26 W, LUCEDALE, MS 39452-6505
(601) 947-4828
(601) 947-4829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3392-06
MS
122300000X
Dentist
5712
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03306702
—
MS
Enumeration date
05/22/2007
Last updated
10/15/2012
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