METRO DENTAL INC
NPI 1720390693
Dentist in Jackson, MS

Active since July 08, 2010
1836 CRANE RIDGE DR, JACKSON, MS 39216(601) 862-2752 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist

About METRO DENTAL INC

This page provides the complete NPI Profile along with additional information for Metro Dental Inc, a provider established in Jackson, Mississippi operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1720390693 assigned on July 2010. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jim Polles Mp Pa (Owner)

NPI
1720390693 Verify this NPI
Provider Name
METRO DENTAL INC
Entity Type
Organization
Location Address
1836 CRANE RIDGE DR JACKSON, MS 39216
Location Phone
(601) 862-2752
Mailing Address
1836 CRANE RIDGE DR JACKSON, MS 39216
Mailing Phone
(601) 862-2752
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2010
Last Update Date
07-08-2010
Code Navigator

A dentist like Metro Dental Inc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIM POLLES MP PA

Authorized Official Title
OWNER
Authorized Official Phone
(601) 862-2752

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist
1836 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Clinic/Center (Dental)
1836 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Clinic/Center (Dental)
1836 CRANE RIDGE DR
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720390693, enumerated as an "organization" on July 08, 2010.

The provider is located at 1836 CRANE RIDGE DR JACKSON, MS 39216 and the phone number is (601) 862-2752.

Dentist with taxonomy code 122300000X.