Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brannon Myrick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700230083

Brannon Myrick is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

2500 N State St Dept OF Oral-Maxillofacial Surgery And Pathology
Jackson, MS 39216-4505
Phone: (601) 984-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 10273 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700230083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2016
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address2500 N. State St, Department Of Oral-Maxillofacial Surgery And Pathology, Jackson, MS 39216-4505

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