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General NPI Number Information
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NPI Number | 1811620214
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Entity Type | Organization
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Legal Business Name | MISSISSIPPI DENTAL CENTER OF JACKSON LLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 4500 I 55 N STE 235
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City | JACKSON
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State | MS
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Zip | 39211-5931
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Country | US
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Telephone | 601-987-8722
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 I 55 N STE 235
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City | JACKSON
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State | MS
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Zip | 39211-5931
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Country | US
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Telephone | 601-987-8722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLARKE STEWART STRANGE
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Credential | DMD
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Telephone | 601-506-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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