Provider Demographics
NPI:1942677828
Name:MEDICAL ANALYSIS DENTISTRY
Entity Type:Organization
Organization Name:MEDICAL ANALYSIS DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:PAPANIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:228-432-5222
Mailing Address - Street 1:1025 DIVISION ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-2906
Mailing Address - Country:US
Mailing Address - Phone:228-432-5222
Mailing Address - Fax:228-432-5223
Practice Address - Street 1:1025 DIVISION ST
Practice Address - Street 2:SUITE F
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-2906
Practice Address - Country:US
Practice Address - Phone:228-432-5222
Practice Address - Fax:228-432-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3305-041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty