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MR. JOHN MATHIS DMD
NPI 1669080081
Dentist in Tupelo, MS

Active since July 22, 2020
1013 W JACKSON ST, TUPELO, MS 38804(662) 823-7900(662) 823-7920 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2023, Jul 22, 2020 (2 updates tracked since 2020).

About Mr. John Mathis Dmd NPPES

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

MR. JOHN MATHIS DMD (NPI 1669080081) is an individual dentist in Tupelo, Mississippi, licensed in Mississippi (4139-20) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1669080081
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. JOHN MATHISCredential: DMD
Location Address1013 W JACKSON STTupelo, MS 38804-1907
Mailing Address1013 W Jackson StTupelo, MS 38804-1907 · (662) 823-7900 · Fax (662) 823-7920
Phone(662) 823-7900
Fax(662) 823-7920
Sole ProprietorYes
Enumeration DateJuly 22, 2020
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1669080081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MS · 4139-20
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.
1013 W JACKSON ST, Tupelo, MS 38804
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Other Identifiers 1

Other4139-20MS · License Number

Other Providers at the Same Location NPPES 2

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

MARQUIS DENTAL CENTER PA
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1013 W JACKSON ST
TUPELO, MS 38804
Lee County (662) 823-7900
MATHIS DENTAL, LLC
Clinic/Center (Dental)
1013 W JACKSON ST
TUPELO, MS 38804
Lee County (662) 823-7900

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 John Mathis's NPI number?

The NPI number for John Mathis is 1669080081. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is John Mathis located?

John Mathis practices at 1013 W Jackson St, Tupelo, MS 38804. The listed phone number is (662) 823-7900.

What is John Mathis'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 John Mathis was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.