Individual
DR. JESSICA MARIE MCMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13165 VIDALIA RD, PASS CHRISTIAN, MS 39571-9162
(228) 255-4355
(228) 255-6761
Mailing address
1213 BROAD AVE STE 1, GULFPORT, MS 39501-2475
(228) 863-5171
(228) 863-5233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3438-07
MS
1223G0001X
General Practice Dentistry
5664
LA
Other
Enumeration date
02/19/2009
Last updated
01/25/2018
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