| Dockins Dental LLC | |
|
500i East Woodrow Wilson Ave Jackson MS 39216 | |
| (601) 982-0048 | |
| (601) 982-0388 |
| Full Name | Dockins Dental LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500i East Woodrow Wilson Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Joandrea T Dockins (DENTIST) |
| Authorized Official Contact | 6019820048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dockins Dental LLC 500i E Woodrow Wilson Ave Jackson MS 39216-4538 Ph: (601) 982-0048 | Dockins Dental LLC 500i East Woodrow Wilson Ave Jackson MS 39216 Ph: (601) 982-0048 |
| NPI Number | 1831264035 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831264035 | NPI | - | NPPES |
| 07134218 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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