Individual
DR. JEFF MICHAEL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13165 VIDALIA RD, PASS CHRISTIAN, MS 39571-9162
(228) 255-4355
(228) 255-6761
Mailing address
13165 VIDALIA RD, PASS CHRISTIAN, MS 39571-9162
(228) 255-4355
(228) 255-6761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3437-07
MS
1223G0001X
General Practice Dentistry
5936
LA
Other
Enumeration date
02/19/2009
Last updated
06/24/2015
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