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Individual

DR. JOHN PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-2600
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
(601) 364-2600

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2030-83
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00060027
MS
Enumeration date
06/15/2006
Last updated
12/20/2007
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