Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FANASY PROKOP JEFCOAT, D.M.D., MS
Active Sole ProprietorDR. FANASY PROKOP JEFCOAT, D.M.D., MS is a Periodontology healthcare provider located in MADISON, Mississippi. NPI 1154401909 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MADISON, MS
Registration Details
- NPI Number
- 1154401909
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2006 (19.785969677071 yrs)
- Last Updated
- Feb 7, 2017
- License
-
3251-03 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 WEBSTER CIRCLESUITE 100MADISON, MS, 39110Browse MS providers · Browse ZIP 39110
- Phone
- 6016056511
- Fax
- 6016056508
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.