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Organization

MEDICAL ARTS DENTAL GROUP P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT JERRY NEELY D.M.D. (OWNER/ DENTIST)
(601) 948-2073
Entity
Organization

Contact information

Practice address
1151 N STATE ST, SUITE 401, JACKSON, MS 39202-2407
(601) 948-2073
(601) 354-8773
Mailing address
1151 N STATE ST, SUITE 401, JACKSON, MS 39202-2407
(601) 948-2073
(601) 354-8773

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
228886
MS

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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