JAMES R WOODSON III DMD
NPI 1417407404
Dentist - General Practice in Jackson, MS

Active since October 13, 2016
11 NORTHTOWN DR, SUITE 105, JACKSON, MS 39211(601) 988-6200(601) 988-6203 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James R Woodson Iii Dmd NPPES

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

JAMES R WOODSON III DMD (NPI 1417407404) is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since October 2016. The organization lists James Randall Woodson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417407404
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAMES R WOODSON III DMD
Location Address11 NORTHTOWN DR, SUITE 105Jackson, MS 39211-3699
Mailing Address11 Northtown Dr, Suite 105Jackson, MS 39211-3699 · (601) 988-6200 · Fax (601) 988-6203
Fax(601) 988-6203
Organization SubpartNo
Authorized OfficialJames Randall WoodsonOwner · (601) 988-6200
Enumeration DateOctober 13, 2016
NPI 1417407404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MS · 3200-01
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.
11 NORTHTOWN DR, Jackson, MS 39211

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Registered Nurse
11 NORTHTOWN DR
JACKSON, MS 39211
Dentist (General Practice)
11 NORTHTOWN DR, SUITE 105
JACKSON, MS 39211
Counselor
11 NORTHTOWN DR, SUITE 205 D
JACKSON, MS 39211
Counselor (Mental Health)
11 NORTHTOWN DR, SUITE 205B
JACKSON, MS 39211

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 James R Woodson III Dmd's NPI number?

The NPI number for James R Woodson III Dmd is 1417407404. It was assigned to this organization in the NPPES registry on October 13, 2016.

Where is James R Woodson III Dmd located?

James R Woodson III Dmd is located at 11 Northtown Dr Suite 105, Jackson, MS 39211. The listed phone number is (601) 988-6200.

What is James R Woodson III Dmd'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 James R Woodson III Dmd was last updated on October 13, 2016. 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.