Individual
DR. JEFFERY BRIAN PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 NORTHLAKE AVE, SUITE 111, RIDGELAND, MS 39157-1718
(601) 856-6364
(601) 956-9380
Mailing address
112 HADDINGTON CV, MADISON, MS 39110-6878
(601) 853-0678
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2197-85
MS
Other
Enumeration date
05/04/2007
Last updated
02/14/2013
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