person
Dr. Deidra Janiece Snell, DMD
General Practice Dentistry in Jackson, Mississippi
NPI 1811150766

Deidra Janiece Snell is a General Practice Dentistry based in Jackson, MS and is specialized in General Practice. Deidra Janiece Snell practices in Jackson, MS and has the professional credentials of DMD. The NPI Number for Deidra Janiece Snell is 1811150766 and holds a License No. (Mississippi).

The current practice location address for Deidra Janiece Snell is 5800 Ridgewood Rd, Jackson, MS and can be reached out via phone at 601-398-2934 and via fax at 769-216-3311.

Location: 5800 Ridgewood Rd, Jackson, MS, 39211-2667
person
Provider Profile Details
NPI Number
1811150766
Provider Name
Deidra Janiece Snell
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
5800 Ridgewood Rd, Jackson, MS, 39211-2667
Phone Number
601-398-2934
Fax Number
769-216-3311
Provider Enumeration Date
07/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811150766 05 MS
institution
Provider Business Practice Location Address Details
Address
5800 Ridgewood Rd
City
State
Zip
39211-2667
Phone Number
601-398-2934
Fax Number
769-216-3311
person
Provider Business Mailing Address Details
Address
5800 Ridgewood Rd
City
State
Zip
39211-2667
Phone Number
601-398-2934
Fax Number
769-216-3311
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3459-08 (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.
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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