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Contact Information

RONALD CALOSS JR, DDS, MD
1200 N STATE ST STE 130
JACKSON, MS39202-2027
 Phone: 601-841-3223
 Fax: 601-841-3172
 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 RONALD CALOSS JR · (Male)

NPI # 1932157500
Status Active
Credentials DDS, MD
Entity Individual
Enumeration date 05/05/2006
Last updated 07/29/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MS License # 17730
  • MS License # OS-411-08
  • MS Medicaid 005871393
  • MS Medicaid 009150891
  • Other 14058646 CAQH ID
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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