| Candid Mississippi, P.C. | |
|
460 Briarwood Dr Ste 400 Jackson MS 39206-3062 | |
| (860) 481-7631 | |
| Not Available |
| Full Name | Candid Mississippi, P.C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 460 Briarwood Dr Ste 400, Jackson, Mississippi |
| Authorized Official Name and Position | Thomas Shannon (DDS) |
| Authorized Official Contact | 8604817631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candid Mississippi, P.C. 460 Briarwood Dr Ste 400 Jackson MS 39206-3062 Ph: (860) 481-7631 | Candid Mississippi, P.C. 460 Briarwood Dr Ste 400 Jackson MS 39206-3062 Ph: (860) 481-7631 |
| NPI Number | 1225645328 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 09/23/2020 |
| Certification Date | 09/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225645328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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