Organization · Type 2 NPI
Mississippi Periodontics and Implants PLLC
Periodontics · Ridgeland, MS
NPI number
1497112825
Active
Practice location
218 West Jackson Street
Ridgeland, MS 39157
Fax (601) 856-1719
Mailing address
218 W Jackson St
Ridgeland, MS 39157-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 3551-10 (MS) |
| Periodontics Primary | 1223P0300X | 1880-80 (MS) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1497112825
Mississippi Periodontics and Implants PLLC's National Provider Identifier is 1497112825, issued on Jan 15, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Ridgeland, MS. The record was last updated on Jan 15, 2016.