MID SOUTH DENTAL CENTER OF JACKSON – NPI #1508958133
Clinic/Center
MID SOUTH DENTAL CENTER OF JACKSON is an AHC clinic located in JACKSON, MS. NPPES has assigned the NPI number 1508958133 to MID SOUTH DENTAL CENTER OF JACKSON on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID SOUTH DENTAL CENTER OF JACKSON below.
NPI Profile for
MID SOUTH DENTAL CENTER OF JACKSON
(more than 19 years ago)
JACKSON, MS 39209 Phone: (601) 373-2404 Fax: (601) 373-4443
V.PRESIDENT/ DENTIST PARTNERSHIP
Phone: (601) 373-2404
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QD0000X - Clinic/Center / Dental (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.