SearchMississippi122300000X

Jamaal Longino, DMD

NPI 1205090040 · on the registry since 2008 · sole proprietor

Practice

Address
105 Ridge Way
Ste
Flowood, MS 39232
Phone
(601) 203-1654
Organisation at this address
Park Dental Group - Flowood Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-04-25

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