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Dr. Jeffery Dale Hartsog, DMD
General Practice Dentistry in Jackson, Mississippi
NPI 1518969633

Jeffery Dale Hartsog is a General Practice Dentistry based in Jackson, MS and is specialized in General Practice. Jeffery Dale Hartsog practices in Jackson, MS and has the professional credentials of DMD. The NPI Number for Jeffery Dale Hartsog is 1518969633 and holds a License No. 2079-84 (Mississippi).

The current practice location address for Jeffery Dale Hartsog is 1437 Old Square Rd, Jackson, MS and can be reached out via phone at 601-362-1685 and via fax at 601-982-9304.

Location: 1437 Old Square Rd, Jackson, MS, 39211-5535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518969633
Provider Name
Jeffery Dale Hartsog
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1437 Old Square Rd, Jackson, MS, 39211-5535
Phone Number
601-362-1685
Fax Number
601-982-9304
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1437 Old Square Rd
City
Jackson
State
Mississippi
Zip
39211-5535
Phone Number
601-362-1685
Fax Number
601-982-9304
person
Provider Business Mailing Address Details
Address
1437 Old Square Rd
City
Jackson
State
Mississippi
Zip
39211-5535
Phone Number
601-362-1685
Fax Number
601-982-9304
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2079-84 (Mississippi)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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