King Laxson, Jennifer

King Laxson, Jennifer is an individual health care provider with primary practice located at 1085 Gluckstadt Rd , Madison MS 39110-9456. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. King Laxson, Jennifer can be contacted via phone (601) 898-2228.

Contact Information

Primary practice address
1085 Gluckstadt Rd Madison MS 39110-9456
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3460-08 Mississippi

Profile Details

NPI number 1912161043
LBN Legal business name King Laxson, Jennifer
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Nov 28th, 2012 - about 12 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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