Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON KENNETH COLEMAN, DMD
Active Sole ProprietorDR. JASON KENNETH COLEMAN, DMD is a Pediatric Dentistry healthcare provider located in SOUTHAVEN, Mississippi. NPI 1477665065 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1477665065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.915911041281 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3112-99 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3964 GOODMAN RD ESUITE 128SOUTHAVEN, MS, 386728761Browse MS providers · Browse ZIP 38672
- Phone
- 6628937337
- Fax
- 6628937881
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| PROF. CLYDE ARMSTRONG MUSGRAVE | D.M.D. | 1194825299 |
| STEVEN J FUSON | D.D.S, M.S. | 1649336017 |
| JOHN C PAGE | D.D.S., M.S. | 1134285455 |
| JOHN A ACOSTA | D.D.S. | 1841356169 |
| DR. NATHANIEL D DENSON | D.D.S. | 1720341100 |
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.