DR. JIMMY DALE VANCE DMD
NPI 1962425421
Dentist - General Practice in Jackson, MS

Active since July 25, 2006
1500 EAST WOODROW WILSON DRIVE, JACKSON, MS 39216(601) 364-1294(601) 364-1292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jimmy Dale Vance Dmd NPPES

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

DR. JIMMY DALE VANCE DMD (NPI 1962425421) is an individual general practice provider in Jackson, Mississippi, licensed in Mississippi (2753-93) and active in the NPI registry since July 2006.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1962425421
Entity TypeIndividualMale
Provider Legal NameDR. JIMMY DALE VANCECredential: DMD
Location Address1500 EAST WOODROW WILSON DRIVEJackson, MS 39216-5199
Mailing Address206 Clark Farms RdMadison, MS 39110-8106 · (601) 853-9282
Fax(601) 364-1292
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1962425421 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

Licensed in MS · 2753-93

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… Show more

1500 EAST WOODROW WILSON DRIVE, Jackson, MS 39216

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychologist (Addiction (Substance Use Disorder))
1500 EAST WOODROW WILSON DRIVE, ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC
JACKSON, MS 39216
Internal Medicine
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Nurse Practitioner (Family)
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Pharmacist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Occupational Therapist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Dietitian, Registered
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Occupational Therapist
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Dentist (General Practice)
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216
Speech-Language Pathologist
1500 EAST WOODROW WILSON DRIVE, GV SONNY MONTGOMERY DEPARTMENT OF VETERANS AFFAIRS
JACKSON, MS 39216
Nuclear Medicine
1500 EAST WOODROW WILSON DRIVE, RADIOLOGY SERVICE, G.V. MONTGOMERY VA MEDICAL CENTER
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962425421, enumerated as an "individual" on July 25, 2006.

The provider is located at 1500 EAST WOODROW WILSON DRIVE JACKSON, MS 39216 and the phone number is (601) 364-1294.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.