Search › Mississippi › 1223G0001X
Jaden Van, DMD
NPI 1134808488 · on the registry since 2023
Practice
- Address
- 100 Marketplace Dr Ste B
Byram, MS 39272 - Phone
- (601) 665-4809
- Organisation at this address
- Gary Williams Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi