Individual
DAVID SPENCER REMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6090
(601) 984-4949
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4210-21
MS
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
111402
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2021
Last updated
03/13/2026
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