person
Brannon Myrick
Oral and Maxillofacial Surgery (Dentist) in Jackson, Mississippi
NPI 1700230083

Brannon Myrick is a Oral and Maxillofacial Surgery (Dentist) based in Jackson, MS and is specialized in Oral and Maxillofacial Surgery. Brannon Myrick practices in Jackson, MS. The NPI Number for Brannon Myrick is 1700230083 and holds a License No. (Mississippi).

The current practice location address for Brannon Myrick is 2500 N. State St, Jackson, MS and can be reached out via phone at 601-984-6090.

Location: 2500 N. State St, Jackson, MS, 39216-4505
person
Provider Profile Details
NPI Number
1700230083
Provider Name
Brannon Myrick
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 N. State St, Jackson, MS, 39216-4505
Phone Number
601-984-6090
Fax Number
Provider Enumeration Date
04/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 N. State St
City
State
Zip
39216-4505
Phone Number
601-984-6090
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N. State St
City
State
Zip
39216-4505
Phone Number
601-984-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
10273 (South Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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