Provider Demographics
NPI:1821614611
Name:AKERS, JARED (DMD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:
Last Name:AKERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-9730
Mailing Address - Country:US
Mailing Address - Phone:601-405-2254
Mailing Address - Fax:
Practice Address - Street 1:12231 BERNARD PKWY
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-5086
Practice Address - Country:US
Practice Address - Phone:228-687-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOS-6066-24204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery