MID SOUTH DENTAL CENTER OF JACKSON (NPI# 1508958133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508958133 |
| Entity Type | Organization |
| Organization Name | MID SOUTH DENTAL CENTER OF JACKSON |
| Practice Address |
5685 Hwy 18 West Jackson MS 39209 |
| Practice Telephone | 6013732404 |
| Practice Fax Number | 6013734443 |
| Mailing Telephone | 6013732404 |
| Mailing Fax Number | 6013734443 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BARINDER SINGH (V.PRESIDENT/ DENTIST PARTNERSHIP) |
| Authorized Official Telephone | 6013732404 |
| Authorized Official Credential | BDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5685 HWY 18 WEST |
| City | JACKSON |
| State | MS |
| Zip Code | 39209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326257510 | Barinder Pal Singh | Dentist | 5685 Hwy 18 West, Jackson, MS 39209-9622 | 2007-05-22 |
| 1447469622 | James Wallace Brantley Jr. | Dentist | 5685 Hwy 18 West, Jackson, MS 39209-9622 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1619503349 | Alpine Denitstry | Clinic/Center | 945 W Broadway Ave Apt 201, Jackson, WY 83001-8217 | 2020-03-13 |
| 1790269173 | Chad Brown, D.d.s., P.C. | Clinic/Center | 604 2nd St, Jackson, MN 56143-1646 | 2018-09-20 |
| 1972863207 | Bingham Endodontics, Pllc | Clinic/Center | 610 W. Broadway Ave, Jackson, WY 83001 | 2012-05-21 |
| 1396903811 | John W. Crowder, D.d.s.,p.c. | Clinic/Center | 209 Oil Well Rd, Jackson, TN 38305-7924 | 2008-05-30 |
| 1194997775 | Noel K. Toler,jr.,d.d.s.,p.a. | Clinic/Center | 2600 River Ridge Dr, Jackson, MS 39216-5013 | 2008-03-24 |
| 1124182407 | Choices for Dental | Clinic/Center | 2941 Terry Rd Ste 16, Jackson, MS 39212-3072 | 2006-12-20 |
| 1982787073 | G. Robert Hopper, D.d.s., P.C. | Clinic/Center | 468 N Parkway, Jackson, TN 38305-2857 | 2006-10-23 |
| 1225642242 | Lifetime Dental Care Pllc | Clinic/Center | 2528 Spring Arbor Rd, Jackson, MI 49203-3602 | 2020-09-08 |
| 1821601626 | Sheets Family Dentistry Pllc | Clinic/Center | 1615 Carlton Blvd, Jackson, MI 49203-1444 | 2020-08-31 |
| Find all providers in JACKSON | ||||
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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.