Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFERY DALE HARTSOG, DMD
ActiveGeneral Dentistry · JACKSON, MS
Registration Details
- NPI Number
- 1518969633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (20.889215649473 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2079-84 (MS)
Practice Information
- Address
-
1437 OLD SQUARE RDJACKSON, MS, 392115535Browse MS providers · Browse ZIP 39211
- Phone
- 6013621685
- Fax
- 6019829304
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MELANIE PAIGE-BROWN | — | 1649210477 |
| DR. ANDREW K DULANEY | DMD | 1710902119 |
| DR. PEDRO P ALEMAN | DDS | 1255353272 |
| DR. JIMMY DALE VANCE | DMD | 1962425421 |
| DR. CHARLES CULLEY TOLBERT | DMD | 1225051899 |
| DR. LEON ANDERSON JR. | DMD | 1821011123 |
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.