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Jeremy King, D.M.D
NPI 1982728580 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1381 Johnny Johnson Drive
Brookhaven, MS 39601 - Phone
- (601) 823-2990
- Fax
- (601) 823-2991
- Organisation at this address
- Brookhaven Smile Center, Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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