Grissom, Jason Scott

Grissom, Jason Scott is an individual health care provider with primary practice located at 1896 Main St Suite B, Madison MS 39110-7676. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grissom, Jason Scott can be contacted via phone (601) 898-9390.

Contact Information

Primary practice address
1896 Main St Suite B Madison MS 39110-7676
Phone: (601) 898-9390
Fax: (601) 898-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3218-08 Mississippi

Profile Details

NPI number 1699921957
LBN Legal business name Grissom, Jason Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Aug 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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