Individual
RONALD CALOSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1200 N STATE ST STE 130, JACKSON, MS 39202-2027
(601) 841-3223
(601) 841-3172
Mailing address
1200 N STATE ST STE 130, JACKSON, MS 39202-2027
(601) 841-3223
(601) 841-3172
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OS-411-08
MS
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
17730
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005871393
—
MS
05
—
009150891
—
MS
01
—
14058646
CAQH ID
—
Enumeration date
05/05/2006
Last updated
07/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us