MID TOWN DENTAL
NPI 1861816670
Dentist - General Practice in Jackson, MS

Q: What is Mid Town Dental's NPI number?

The NPI number for Mid Town Dental is 1861816670. It was assigned to this organization in the NPPES registry on February 13, 2014.

Q: What is Mid Town Dental's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mid Town Dental was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 February 13, 2014

808 N STATE ST, SUITE A, JACKSON, MS 39202(601) 355-5275 Get Directions Write a Review

NPPES record last updated: February 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mid Town Dental NPPES

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

MID TOWN DENTAL (NPI 1861816670) is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since February 2014. The organization lists Stevey Gaddis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861816670

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMID TOWN DENTAL

Location Address808 N STATE ST, SUITE AJackson, MS 39202-2602

Mailing Address808 N State StJackson, MS 39202-2602 · (601) 355-5275

Phone(601) 355-5275

Organization SubpartNo

Authorized OfficialStevey GaddisOffice Manager · (601) 355-5275

Enumeration DateFebruary 13, 2014

✔ NPI 1861816670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 294096

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.

808 N STATE ST, Jackson, MS 39202

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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 Mid Town Dental's NPI number?

The NPI number for Mid Town Dental is 1861816670. It was assigned to this organization in the NPPES registry on February 13, 2014.

Where is Mid Town Dental located?

Mid Town Dental is located at 808 N State St Suite A, Jackson, MS 39202. The listed phone number is (601) 355-5275.

What is Mid Town Dental'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 Mid Town Dental was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.