1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Dentist
  6. NPI Profile

MISSISSIPPI DENTAL CENTER OF JACKSON LLC
NPI 1811620214
Dentist - General Practice in Jackson, MS

Active since July 05, 2022
4500 I 55 N STE 235, JACKSON, MS 39211(601) 987-8722 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mississippi Dental Center Of Jackson Llc NPPES

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

MISSISSIPPI DENTAL CENTER OF JACKSON LLC (NPI 1811620214) is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since July 2022. The organization lists Clarke Stewart Strange, Owner, as its authorized official.

NPPES Registry Identity

NPI1811620214
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSISSIPPI DENTAL CENTER OF JACKSON LLC
Location Address4500 I 55 N STE 235Jackson, MS 39211-5931
Mailing Address4500 I 55 N Ste 235Jackson, MS 39211-5931 · (601) 987-8722
Phone(601) 987-8722
Organization SubpartNo
Authorized OfficialClarke Stewart StrangeOwner · (601) 506-9490
Enumeration DateJuly 5, 2022
NPPES CertifiedJuly 5, 2022
✔ NPI 1811620214 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.
4500 I 55 N STE 235, Jackson, MS 39211
Open in Google Maps ↗

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 MULTIPLE 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 Mississippi Dental Center Of Jackson LLC's NPI number?

The NPI number for Mississippi Dental Center Of Jackson LLC is 1811620214. It was assigned to this organization in the NPPES registry on July 5, 2022.

Where is Mississippi Dental Center Of Jackson LLC located?

Mississippi Dental Center Of Jackson LLC is located at 4500 I 55 N Ste 235, Jackson, MS 39211. The listed phone number is (601) 987-8722.

What is Mississippi Dental Center Of Jackson LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mississippi Dental Center Of Jackson LLC was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.