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Contact Information

KENNETH A BAILEY JR, DDS
345 N MART PLZ
JACKSON, MS39206-5316
 Phone: 601-981-1000
 Fax: 601-981-9440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KENNETH A BAILEY JR · (Male)

NPI Number 1255441770
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 2815-94
  • MS Medicaid 00660151
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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