Organization
ENDODONTIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY BRIAN PRIDE D.M.D. (OWNER)
(601) 856-6364
Entity
Organization
Contact information
Practice address
301 NORTHLAKE AVE, SUITE 111, RIDGELAND, MS 39157-1718
(601) 856-6364
(601) 856-7545
Mailing address
301 NORTHLAKE AVE, SUITE 111, RIDGELAND, MS 39157-1718
(601) 856-6364
(601) 856-7545
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
ENDO 23993
MS
Other
Enumeration date
03/01/2007
Last updated
02/07/2013
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