ADVANCED DENTAL CLINIC
NPI 1497292239
Dentist in Jackson, MS

Active since January 31, 2017
1555 E COUNTY LINE ROAD, JACKSON, MS 39211(601) 271-8710 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dental Clinic NPPES

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

ADVANCED DENTAL CLINIC (NPI 1497292239) is a healthcare organization registered as a dentist in Jackson, Mississippi and active in the NPI registry since January 2017. The organization lists T. Lake Garner, Owner, as its authorized official.

NPPES Registry Identity

NPI1497292239
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameADVANCED DENTAL CLINIC
Location Address1555 E COUNTY LINE ROADJackson, MS 39211
Mailing Address4358 Lincoln Rd Ext, Suite 20Hattiesburg, MS 39402 · (601) 271-8710
Organization SubpartNo
Authorized OfficialT. Lake GarnerOwner · (601) 271-8710
Enumeration DateJanuary 31, 2017
NPI 1497292239 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.
1555 E COUNTY LINE ROAD, 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

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 Advanced Dental Clinic's NPI number?

The NPI number for Advanced Dental Clinic is 1497292239. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is Advanced Dental Clinic located?

Advanced Dental Clinic is located at 1555 E County Line Road, Jackson, MS 39211. The listed phone number is (601) 271-8710.

What is Advanced Dental Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Advanced Dental Clinic was last updated on January 31, 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.