Jefcoat, Fanasy Prokop

Jefcoat, Fanasy Prokop is an sole proprietor health care provider with primary practice located at 101 Webster Circle Suite 100, Madison MS 39110. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Jefcoat, Fanasy Prokop can be contacted via phone (601) 605-6511.

Contact Information

Primary practice address
101 Webster Circle Suite 100 Madison MS 39110
Phone: (601) 605-6511
Fax: (601) 605-6508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3251-03 Mississippi

Profile Details

NPI number 1154401909
LBN Legal business name Jefcoat, Fanasy Prokop
Credentials D.M.D., MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Feb 7th, 2017 - about 7 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.

Request for update

Popular Providers