Individual
DR. WILLIAM BRADFORD JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
211 HIGHWAY 82 E, INDIANOLA, MS 38751-2234
(662) 887-3426
(662) 887-3698
Mailing address
211 HIGHWAY 82 E, INDIANOLA, MS 38751-2234
(662) 887-3426
(662) 887-3698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3225
MS
1223G0001X
General Practice Dentistry
3225
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660426
—
MS
Enumeration date
02/12/2007
Last updated
03/19/2024
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