JACKSON METRO DENTAL LLC
NPI 1801277207
Dentist - General Practice in Lexington, MS

Active since June 11, 2015
102 WALL ST, LEXINGTON, MS 39095(662) 834-1585(662) 834-1583 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Metro Dental Llc NPPES

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

JACKSON METRO DENTAL LLC (NPI 1801277207) is a healthcare organization registered as a general practice in Lexington, Mississippi and active in the NPI registry since June 2015. The organization lists Jim H Polles, Dentist, as its authorized official.

NPPES Registry Identity

NPI1801277207
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON METRO DENTAL LLC
Location Address102 WALL STLexington, MS 39095-3540
Mailing AddressPo Box 297, 102 Wall StreetLexington, MS 39095-0297 · (662) 834-1585 · Fax (662) 834-1583
Fax(662) 834-1583
Organization SubpartNo
Authorized OfficialJim H PollesDentist · (662) 834-1585
Enumeration DateJune 11, 2015
NPI 1801277207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
102 WALL ST, Lexington, MS 39095

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
102 WALL ST
LEXINGTON, MS 39095

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 Jackson Metro Dental LLC's NPI number?

The NPI number for Jackson Metro Dental LLC is 1801277207. It was assigned to this organization in the NPPES registry on June 11, 2015.

Where is Jackson Metro Dental LLC located?

Jackson Metro Dental LLC is located at 102 Wall St, Lexington, MS 39095. The listed phone number is (662) 834-1585.

What is Jackson Metro Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jackson Metro Dental LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jackson Metro Dental LLC 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 Jackson Metro Dental LLC was last updated on June 11, 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.