Page, John C

Page, John C is an individual health care provider with primary practice located at 7734 Airways Blvd , Southaven MS 38671-5306. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Page, John C can be contacted via phone (662) 349-3838.

Contact Information

Primary practice address
7734 Airways Blvd Southaven MS 38671-5306
Phone: (662) 349-3838
Fax: (662) 349-5923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3116 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X 4237 Tennessee

Profile Details

NPI number 1134285455
LBN Legal business name Page, John C
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134285455 NPPES
Tennessee MEDICAID 16596
Tennessee Other 4013142

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