Organization Name: | JOEY SESSUMS DMD, PC |
NPI Number: | 1083954739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEY SESSUMS (DENTIST/OWNER) |
Mailing Address: | 331 S Jackson St Brookhaven |
State: | MS US |
Postal Code: | 396013301 |
Phone Number: | 6018336113 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 3552-10 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |