Organization · Type 2 NPI

Central Mississippi Civic Improvement Association

Dental Clinic/Center · Jackson, MS

NPI number 1790717080 Active

Practice location

3502 W Northside Dr
Jackson, MS 39213-4454

Call (601) 362-5321 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed
Federally Qualified Health Center (FQHC) 261QF0400XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1790717080

Central Mississippi Civic Improvement Association's National Provider Identifier is 1790717080, issued on Jul 7, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jackson, MS. The record was last updated on Apr 25, 2011.