1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Dentist
  6. NPI Profile

HATTIESBURG ROAD DENTAL, P.C.
NPI 1023241767
Dentist - General Practice in Jackson, MS

Active since August 28, 2009
4463 N STATE ST, JACKSON, MS 39206(800) 920-9947 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Jan 7, 2019 (2 updates tracked since 2019).

About Hattiesburg Road Dental, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HATTIESBURG ROAD DENTAL, P.C. (NPI 1023241767), doing business as Kool Smiles, is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since August 2009. The organization lists Dale G Mayfield, President, as its authorized official.

NPPES Registry Identity

NPI1023241767
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHATTIESBURG ROAD DENTAL, P.C.
Location Address4463 N STATE STJackson, MS 39206-5306
Mailing Address210 Interstate North Pkwy Se Ste 300Atlanta, GA 30339-2233 · (770) 916-9000 · Fax (678) 247-7858
Phone(800) 920-9947
Organization SubpartNo
Authorized OfficialDale G MayfieldPresident · (770) 916-5036
Enumeration DateAugust 28, 2009
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1023241767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
4463 N STATE ST, Jackson, MS 39206
Open in Google Maps ↗

Other Names 2

Doing Business AsKool Smiles
Doing Business AsSunnybrook Dentistry & Braces

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RYAN THOMAS KEARNEY DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
4463 N STATE ST
JACKSON, MS 39206
Hinds County (601) 822-3127
DR. GAIL V BENTON D.D.S.
Dentist (Pediatric Dentistry)
4463 N STATE ST
JACKSON, MS 39206
Hinds County (601) 714-2908
DR. LAUREN TYNER CRENSHAW D.M.D.
Dentist (General Practice)
4463 N STATE ST
JACKSON, MS 39206
Hinds County (601) 714-2908
DR. BRAD YOUNG BRYAN D.M.D.
Dentist (General Practice)
4463 N STATE ST
JACKSON, MS 39206
Hinds County (601) 714-2908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hattiesburg Road Dental, P.C.'s NPI number?

The NPI number for Hattiesburg Road Dental, P.C. is 1023241767. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Kool Smiles and Sunnybrook Dentistry & Braces.

Where is Hattiesburg Road Dental, P.C. located?

Hattiesburg Road Dental, P.C. is located at 4463 N State St, Jackson, MS 39206. The listed phone number is (800) 920-9947.

What is Hattiesburg Road Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hattiesburg Road Dental, P.C. was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.