Organization
MISSISSIPPI PROSTHETIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MILNER DMD (OWNER)
(601) 473-3578
Entity
Organization
Contact information
Practice address
4500 I 55 N STE 266, JACKSON, MS 39211-5932
(601) 473-3578
Mailing address
4500 I 55 N STE 266, JACKSON, MS 39211-5932
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
06/23/2021
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