Organization
AFTER HOURS DENTAL CLINIC, II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN MARIE HUNTER-MOORE DDS (DENTIST)
(601) 693-4878
Entity
Organization
Contact information
Practice address
2310 4TH ST, SUITE B, MERIDIAN, MS 39301
(601) 693-4878
(601) 693-4337
Mailing address
2310 4TH ST, SUITE B, MERIDIAN, MS 39301
(601) 693-4878
(601) 693-4337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
267892D
MS
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660029
—
MS
01
—
64087403
INSURANCE
MS
Enumeration date
05/08/2007
Last updated
02/02/2017
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