Dr. Jefferson Ridgway Gamblin
Orthodontists
240 Caldwell Dr
Hazlehurst
, Mississippi 39083-2723
Dr. Jefferson Ridgway Gamblin
Orthodontists
240 Caldwell Dr
Hazlehurst
, Mississippi 39083-2723
(601) 506-1642
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Jefferson Ridgway Gamblin
- 421 Kingsbridge Rd
- Madison, MS
- Zip : 39110-7644
- Phone : (601) 506-1642
Second Address
- Dr. Jefferson Ridgway Gamblin
- 240 Caldwell Dr
- Hazlehurst, MS
- Zip : 39083-2723
- Fax : (601) 894-4732
- Phone : (601) 894-4732
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FAQs
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Is Dr. Jefferson Ridgway Gamblin a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 3536-10 | MS |
National Provider Identifier
| NPI | 1023338761 |
|---|---|
| Provider Name | Dr. Jefferson Ridgway Gamblin |
| First Address | Madison, MS 39110-7644 |
| Second Address | Hazlehurst, MS 39083-2723 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2010 |
| Last Update Date | 28/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.