Provider Demographics
NPI:1912160862
Name:LUMBLEY, JENNIFER CURRY (DMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:CURRY
Last Name:LUMBLEY
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 1:1679 OLD FANNIN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8101
Mailing Address - Country:US
Mailing Address - Phone:601-919-9919
Mailing Address - Fax:601-919-9918
Practice Address - Street 1:1679 OLD FANNIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8101
Practice Address - Country:US
Practice Address - Phone:601-919-9919
Practice Address - Fax:601-919-9918
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3476-081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice