Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Other names
S B H - Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SMILEY (CHIEF FINANCIAL OFFICER)
(601) 576-7542
Entity
Organization
Contact information
Practice address
570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 576-7500
Mailing address
PO BOX 1700, JACKSON, MS 39215-1700
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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