Organization
BROOKHAVEN SMILE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY DREW KING DMD (PRESIDENT)
(601) 823-2990
Entity
Organization
Contact information
Practice address
1381 JOHNNY JOHNSON DR, BROOKHAVEN, MS 39601-9641
(601) 823-2990
(601) 823-2991
Mailing address
1381 JOHNNY JOHNSON DR, BROOKHAVEN, MS 39601-9641
(601) 823-2990
(601) 823-2991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
339006
MS
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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