Provider Demographics
NPI:1184979932
Name:USRY, ANNA MCVEY (DMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MCVEY
Last Name:USRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 I 55 N
Mailing Address - Street 2:SUITE 235
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-5930
Mailing Address - Country:US
Mailing Address - Phone:601-987-8722
Mailing Address - Fax:601-987-8724
Practice Address - Street 1:4500 I-55 NORTH
Practice Address - Street 2:SUITE 235
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-5930
Practice Address - Country:US
Practice Address - Phone:601-987-8722
Practice Address - Fax:601-987-8724
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3665-121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice