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Dr. Jason Kenneth Coleman, DMD
Pediatric Dentist in Southaven, Mississippi
NPI 1477665065

Jason Kenneth Coleman is a Pediatric Dentist based in Hernando, MS and is specialized in Pediatric Dentistry. Jason Kenneth Coleman practices in Southaven, MS and has the professional credentials of DMD. The NPI Number for Jason Kenneth Coleman is 1477665065 and holds a License No. 3112-99 (Mississippi).

The current practice location address for Jason Kenneth Coleman is 3964 Goodman Rd E, Southaven, MS and can be reached out via phone at 662-893-7337 and via fax at 662-893-7881.

Location: 3964 Goodman Rd E, Southaven, MS, 38632-8228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477665065
Provider Name
Jason Kenneth Coleman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3964 Goodman Rd E, Southaven, MS, 38632-8228
Phone Number
662-893-7337
Fax Number
662-893-7881
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660436 05 MS
institution
Provider Business Practice Location Address Details
Address
3964 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38672-8761
Phone Number
662-893-7337
Fax Number
662-893-7881
person
Provider Business Mailing Address Details
Address
3964 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38672-8761
Phone Number
662-893-7337
Fax Number
662-893-7881
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3112-99 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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