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Dr. Fanasy Prokop Jefcoat, DMD,MS
Periodontist in Madison, Mississippi
NPI 1154401909

Fanasy Prokop Jefcoat is a Periodontist based in Madison, MS and is specialized in Periodontics. Fanasy Prokop Jefcoat practices in Madison, MS and has the professional credentials of DMD,MS. The NPI Number for Fanasy Prokop Jefcoat is 1154401909 and holds a License No. 3251-03 (Mississippi).

The current practice location address for Fanasy Prokop Jefcoat is 101 Webster Circle, Madison, MS and can be reached out via phone at 601-605-6511 and via fax at 601-605-6508. You can also correspond with Fanasy Prokop Jefcoat through the mailing address at 2044 TIDEWATER LN, MADISON, MS - 39110-8927 (mailing address contact number: 601-605-6511).

Location: 101 Webster Circle, Madison, MS, 39110-8927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154401909
Provider Name
Fanasy Prokop Jefcoat
Credential
DMD,MS
Provider Entity Type
Individual
Gender
Female
Address
101 Webster Circle, Madison, MS, 39110-8927
Phone Number
601-605-6511
Fax Number
601-605-6508
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Webster Circle
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-605-6511
Fax Number
601-605-6508
person
Provider Business Mailing Address Details
Address
101 Webster Circle
City
Madison
State
Mississippi
Zip
39110
Phone Number
601-605-6511
Fax Number
601-605-6508
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
3251-03 (Mississippi)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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