Organization
MISSISSIPPI DENTAL CENTER OF JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARKE STEWART STRANGE DMD (OWNER)
(601) 506-9490
Entity
Organization
Contact information
Practice address
4500 I 55 N STE 235, JACKSON, MS 39211-5931
(601) 987-8722
Mailing address
4500 I 55 N STE 235, JACKSON, MS 39211-5931
(601) 987-8722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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