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DR. JASON KENNETH COLEMAN DMD
NPI 1477665065
Dentist - Pediatric Dentistry in Southaven, MS

Active since August 31, 2006
3964 GOODMAN RD E, SUITE 128, SOUTHAVEN, MS 38672(662) 893-7337(662) 893-7881 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jason Kenneth Coleman Dmd NPPES

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

DR. JASON KENNETH COLEMAN DMD (NPI 1477665065) is an individual pediatric dentistry provider in Southaven, Mississippi, licensed in Mississippi (3112-99) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477665065
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JASON KENNETH COLEMANCredential: DMD
Location Address3964 GOODMAN RD E, SUITE 128Southaven, MS 38672-8761
Mailing Address4036 Robertson Gin RdHernando, MS 38632-8228 · (662) 429-3419
Phone(662) 893-7337
Fax(662) 893-7881
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477665065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3112-99
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3964 GOODMAN RD E, Southaven, MS 38672
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Other Identifiers 1

Medicaid00660436MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental PPO, Guardian, Humana.Insurance ›

Other Providers at the Same Location NPPES 9

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

LACEY MOODY
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
MR. TIMOTHY J MICEK M.D.
Orthopaedic Surgery
3964 GOODMAN RD E, SUITE 128
SOUTHAVEN, MS 38672
Desoto County (662) 420-7350
CODY SEMLER DPT
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
UNITY HOSPICE NE, LLC
Hospice Care, Community Based
3964 GOODMAN RD E, STE 112
SOUTHAVEN, MS 38672
Desoto County (662) 893-5662
ADAM BROOKS RISINGER P.T.
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
MR. KEVIN FRANCIS YEKAITIS FNP-BC
Nurse Practitioner (Family)
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 420-7350
ORTHO SPORT & SPINE PHYSICIANS SOUTHHAVEN
Physical Medicine & Rehabilitation
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (800) 678-4611
ANNA FEE
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953

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 Jason Coleman's NPI number?

The NPI number for Jason Coleman is 1477665065. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jason Coleman located?

Jason Coleman practices at 3964 Goodman Rd E Suite 128, Southaven, MS 38672. The listed phone number is (662) 893-7337.

What is Jason Coleman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jason Coleman accept?

Health plans from Delta Dental PPO, Guardian and Humana list Jason Coleman 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 Jason Coleman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.