CHILDREN'S DENTAL CENTER
NPI 1669850004
Dentist - Pediatric Dentistry in Hernando, MS

Q: What is Jcc, LLC's NPI number?

The NPI number for Jcc, LLC is 1669850004. It was assigned to this organization in the NPPES registry on May 18, 2015. The provider is doing business as Children's Dental Center.

Q: What is Jcc, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jcc, LLC was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 18, 2015

1150 MONTEITH AVENUE, SUITE 102, HERNANDO, MS 38632(662) 298-2095 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Children's Dental Center NPPES

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

CHILDREN'S DENTAL CENTER (NPI 1669850004) is a healthcare organization registered as a pediatric dentistry in Hernando, Mississippi and active in the NPI registry since May 2015. The organization lists Jason Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1669850004

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameJCC, LLC

Location Address1150 MONTEITH AVENUE, SUITE 102Hernando, MS 38632

Mailing Address1150 Monteith Avenue, Suite 102Hernando, MS 38632 · (662) 298-2095

Phone(662) 298-2095

Organization SubpartNo

Authorized OfficialJason ColemanOwner · (662) 298-2095

Enumeration DateMay 18, 2015

✔ NPI 1669850004 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 · PEDO 359 02

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.

1150 MONTEITH AVENUE, Hernando, MS 38632

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Other Names 1

Doing Business AsChildren's Dental Center

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 Jcc, LLC's NPI number?

The NPI number for Jcc, LLC is 1669850004. It was assigned to this organization in the NPPES registry on May 18, 2015. The provider is doing business as Children's Dental Center.

Where is Jcc, LLC located?

Jcc, LLC is located at 1150 Monteith Avenue Suite 102, Hernando, MS 38632. The listed phone number is (662) 298-2095.

What is Jcc, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jcc, LLC was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.