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DR. FANASY PROKOP JEFCOAT D.M.D., MS
NPI 1154401909
Dentist - Periodontics in Madison, MS

Active since October 16, 2006
101 WEBSTER CIRCLE, SUITE 100, MADISON, MS 39110(601) 605-6511(601) 605-6508 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fanasy Prokop Jefcoat D.m.d., Ms NPPES

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

DR. FANASY PROKOP JEFCOAT D.M.D., MS (NPI 1154401909) is an individual periodontics provider in Madison, Mississippi, licensed in Mississippi (3251-03) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154401909
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. FANASY PROKOP JEFCOATCredential: D.M.D., MS
Location Address101 WEBSTER CIRCLE, SUITE 100Madison, MS 39110
Mailing Address2044 Tidewater LnMadison, MS 39110-8927 · (601) 605-6511 · Fax (601) 605-6508
Phone(601) 605-6511
Fax(601) 605-6508
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1154401909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MS · 3251-03
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
101 WEBSTER CIRCLE, Madison, MS 39110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Fanasy Jefcoat's NPI number?

The NPI number for Fanasy Jefcoat is 1154401909. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Fanasy Jefcoat located?

Fanasy Jefcoat practices at 101 Webster Circle Suite 100, Madison, MS 39110. The listed phone number is (601) 605-6511.

What is Fanasy Jefcoat's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Fanasy Jefcoat accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Fanasy Jefcoat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fanasy Jefcoat was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.