DENTAL CLINIC
NPI 1841490612
Dentist - General Practice in Meridian, MS

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since July 20, 2007

1818 COLLEGE DRIVE, REIMBURSEMENT DEPT., MERIDIAN, MS 39307(601) 581-7562(601) 581-7676 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Dentist
General Practice

About DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Dental Clinic, a provider established in Meridian, Mississippi operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1841490612 assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 31-136 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. Dental Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Dental Clinic. The authorized official of this NPI record is Charles Carlisle (Hospital Director)

NPI: 1841490612 Verify this NPI
Provider Legal Name: EAST MISSISSIPPI STATE HOSPITAL
Other Organization Name: DENTAL CLINIC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1818 COLLEGE DRIVE REIMBURSEMENT DEPT. MERIDIAN, MS 39307
Location Phone: (601) 581-7562
Location Fax: (601) 581-7676
Mailing Address: PO BOX 4128 WEST STATION MERIDIAN, MS 39304
Mailing Phone: (601) 581-7562
Mailing Fax: (601) 581-7676
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 07-20-2007
Last Update Date: 05-12-2020
Code Navigator

A dentist like Dental Clinic 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 General Practice
Taxonomy Code: 1223G0001X
Type: Dental Providers
License No.: 31-136
License State: MS
Taxonomy Description: 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: CHARLES CARLISLE
Authorized Official Title: HOSPITAL DIRECTOR
Authorized Official Phone: (601) 581-7878

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
09422269	MEDICAID (05)	MS