Van Meter Oral Surgery, Llc

NPI 1851725816 - Dentist - 1223S0112X

NPI Details
NPI 1851725816
Enumeration Date 08/27/2013
Last Updated 08/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLES JACKSON CHARLES
Position ORAL SURGEON
Phone (601) 825-0021
Fax (601) 825-0081
Practice Location
300 MAXEY DR
BRANDON MS, 39042-2576, US
Phone (601) 825-0021
Fax (601) 825-0081
Business Location
300 MAXEY DR
BRANDON MS, 39042-2576, US
Phone (601) 825-0021
Fax (601) 825-0081
Toxanomy
Taxonomy Code 1223S0112X
License State Mississippi
License Number OS-466-13
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According to our database, Van Meter Oral Surgery, Llc NPI is 1851725816, taxonomy code is 1223S0112X and license number is OS-466-13, license state is located at Mississippi. Van Meter Oral Surgery, Llc physically located at 300 Maxey Dr, Brandon MS, 39042-2576. NPI Number 1033115704 has the healthcare provider type.

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1851725816 NPI number is provided on an as is basis without warranty of any kind. 1851725816 is maintained by the National Plan & Provider Enumeration System. The contents of Van Meter Oral Surgery, Llc are for informational purposes only.