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Contact Information

ALEX S ABERNATHY, DDS
11 LAKELAND CIR
JACKSON, MS39216-5006
 Phone: 601-981-8166
 Fax: 601-362-2164
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALEX S ABERNATHY · (Male)

NPI Number 1356550396
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/22/2007
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 1792-78
  • MS Other 1792-78 DENTAL LICENSE NUMBER
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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