Individual
DR. NEETA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6028
(601) 984-6039
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6028
(601) 984-6039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3320-04
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08559255
—
MS
Enumeration date
10/25/2006
Last updated
01/30/2013
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