Individual provider · Type 1 NPI

Brannon Myrick

Oral and Maxillofacial Surgery (Dentist) · Jackson, MS

NPI number 1700230083 Active

Practice location

2500 N. State St, Department Of Oral-Maxillofacial Surgery And Pathology
Jackson, MS 39216-4505

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10273 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1700230083

Brannon Myrick's National Provider Identifier is 1700230083, issued on Apr 22, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Jackson, MS. The record was last updated on Oct 2, 2023.