MY VICKSBURG DENTIST
NPI 1962831719
Dentist - General Practice in Vicksburg, MS

Q: What is Dental Professionals Of Mississippi, P.C.'s specialty?

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

Active since November 02, 2013

1805 MISSION 66, VICKSBURG, MS 39180(601) 638-2361(601) 634-0864 Get Directions Write a Review

NPPES record last updated: November 2, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About My Vicksburg Dentist NPPES

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

MY VICKSBURG DENTIST (NPI 1962831719) is a healthcare organization registered as a general practice in Vicksburg, Mississippi and active in the NPI registry since November 2013. The organization lists Kim Wilson, Cred. Supervisor, as its authorized official.

NPPES Registry Identity

NPI1962831719

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF MISSISSIPPI, P.C.

Location Address1805 MISSION 66Vicksburg, MS 39180-3709

Mailing Address1805 Mission 66Vicksburg, MS 39180-3709 · (601) 638-2361 · Fax (601) 634-0864

Phone(601) 638-2361

Fax(601) 634-0864

Organization SubpartYes

Authorized OfficialKim WilsonCred. Supervisor · (217) 540-5170

Enumeration DateNovember 2, 2013

✔ NPI 1962831719 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.

1805 MISSION 66, Vicksburg, MS 39180

Open in Google Maps ↗

Other Names 1

Doing Business AsMy Vicksburg Dentist

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

BRENT THOMAS DMD PA

Dentist (General Practice)

1805 MISSION 66
VICKSBURG, MS 39180

Warren County (601) 638-2361

DR. CHARLES BRENT THOMAS DMD

Dentist (General Practice)

1805 MISSION 66
VICKSBURG, MS 39180

Warren County (601) 638-2361

DELTA KATHERINE STOUT DMD

Dentist

1805 MISSION 66
VICKSBURG, MS 39180

Warren County (601) 638-2361

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 Dental Professionals Of Mississippi, P.C.'s NPI number?

The NPI number for Dental Professionals Of Mississippi, P.C. is 1962831719. It was assigned to this organization in the NPPES registry on November 2, 2013. The provider is doing business as My Vicksburg Dentist.

Where is Dental Professionals Of Mississippi, P.C. located?

Dental Professionals Of Mississippi, P.C. is located at 1805 Mission 66, Vicksburg, MS 39180. The listed phone number is (601) 638-2361.

What is Dental Professionals Of Mississippi, P.C.'s specialty?

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

What insurance does Dental Professionals Of Mississippi, P.C. 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 list Dental Professionals Of Mississippi, P.C. 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 Dental Professionals Of Mississippi, P.C. was last updated on November 2, 2013. 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.