Individual provider · Type 1 NPI

Jefferson Ridgway Gamblin, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Hazlehurst, MS

NPI number 1023338761 Active

Practice location

240 Caldwell Dr
Hazlehurst, MS 39083-2723

Fax (601) 894-4732

Mailing address

421 Kingsbridge Rd
Madison, MS 39110-7644

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X3536-10 (MS)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1023338761

Jefferson Ridgway Gamblin, DMD's National Provider Identifier is 1023338761, issued on Jun 4, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hazlehurst, MS. The record was last updated on Jul 28, 2010.