MITCHELL DENTAL CLINIC, INC. (NPI# 1497981658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497981658 |
| Entity Type | Organization |
| Organization Name | MITCHELL DENTAL CLINIC, INC. |
| Practice Address |
59 Frontage Rd N Macon MS 39341-2372 |
| Practice Telephone | 6622856828 |
| Practice Fax Number | 6682856896 |
| Mailing Telephone | 6622856828 |
| Mailing Fax Number | 6622856896 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | DR. JOHN DAVID MITCHELL JR. (OWNER CEO) |
| Authorized Official Telephone | 6627264344 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2685-92 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578712980 | Mitchell Dental Clinic, Inc. | Dentist | 103 N Louisville St, Ackerman, MS 39735-9147 | 2008-09-10 |
| Street Address |
59 FRONTAGE RD N |
| City | MACON |
| State | MS |
| Zip Code | 39341-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
| 1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
| 1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
| 1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
| 1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
| Find all providers in zip 39341 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891224861 | Joshua Buckner | Dentist | 4562 Forsyth Rd # 1, Macon, GA 31210-0510 | 2017-06-05 |
| 1679029938 | Gamble Dentalsmart, PC | Dentist | 236 Tom Hill Sr. Blvd., Macon, GA 31210-1815 | 2016-08-28 |
| 1295189595 | Providence Dental LLC | Dentist | 225 N Macon St, Macon, GA 31210-6562 | 2016-04-22 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1497001630 | Samer Mufid Othman | Dentist | 4705 Northside Dr, Suite 100, Macon, GA 31210-1698 | 2012-07-25 |
| 1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
| 1285912527 | Steven N Golubow | Dentist | 6443 Zebulon Rd, Suite 3a and B, Macon, GA 31220-7638 | 2011-08-03 |
| 1740496280 | John N Bowman Ddspc | Dentist | 133 Lamar St, Macon, GA 31204-3007 | 2007-05-14 |
| 1407060452 | Marion Hall Gray | Dentist | 102 W 8th St, Macon, MS 39341-2624 | 2007-05-09 |
| 1285854919 | Rodney Keith Clark | Dentist | 1918 Forsyth Street, Macon, GA 31201 | 2007-04-26 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.