Individual
JEREMY DREW KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1381 JOHNNY JOHNSON DRIVE, BROOKHAVEN, MS 39601-9641
(601) 823-2990
(601) 823-2991
Mailing address
1381 JOHNNY JOHNSON DRIVE, 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
03/19/2007
Last updated
07/08/2007
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