STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1184765372
Dentist in Jackson, MS

Q: What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 09, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 984-4699(601) 815-6137 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About State Of Mississippi - University Of Mississippi Medical Center NPPES

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

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1184765372), doing business as University Dentists, is a healthcare organization registered as a dentist in Jackson, Mississippi and active in the NPI registry since February 2007. The organization lists Stacy Clardy, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1184765372

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-4699 · Fax (601) 815-6137

Phone(601) 984-4699

Fax(601) 815-6137

Organization SubpartNo

Authorized OfficialStacy ClardyPractice Manager · (601) 984-4699

Enumeration DateFebruary 9, 2007

Last NPPES UpdateMarch 3, 2025

NPPES CertifiedMarch 3, 2025

✔ NPI 1184765372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2500 N STATE ST, Jackson, MS 39216

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Other Names 1

Doing Business AsUniversity Dentists

Other Identifiers 1

Medicaid009014021MS

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

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 ›

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)