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Contact Information

ASIF A LALA, DMD, MD
1212 24TH AVE
MERIDIAN, MS39301-3926
 Phone: 601-485-2494
 Fax: 601-485-4837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ASIF A LALA · (Male)

NPI # 1649425596
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 11/19/2008
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • GA License # DN014405
  • MS License # 23598
  • MS License # 3785-15
  • PA License # DS036967
  • MS Medicaid 05034060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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