DR. JACKIE S. MCCLAIN (NPI# 1891881348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891881348 |
| Entity Type | Individual |
| Full Name | DR. JACKIE S. MCCLAIN |
| Credential | D.D.S. , P.C. |
| Practice Address |
1025 Foote St Corinth MS 38834-4911 |
| Practice Telephone | 6622873156 |
| Practice Fax Number | 6622873157 |
| Mailing Telephone | (662) 287-3156 |
| Mailing Fax Number | 6622873157 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS 7273 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | BH5150090 | 01 |
| TN | LICENSE NUMBER | DS 7273 | 01 |
| Street Address |
1025 FOOTE ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023498987 | Tiffany Thomas Hollingsworth | Dentist | 1025 Foote St, Corinth, MS 38834-4911 | 2015-06-05 |
| 1518271873 | Charles William Bailey | Dentist | 1025 Foote St, Corinth, MS 38834-4911 | 2010-07-28 |
| 1508029448 | Dental Arts of Corinth | Dentist | 1025 Foote St, Corinth, MS 38834-4911 | 2008-07-09 |
| 1073733606 | Mark R Mazurkiewicz | Dentist | 1025 Foote St, Corinth, MS 38834-4911 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| 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 |
|---|---|---|---|---|
| 1366822843 | Loretto Family Dentistry | Dentist | 3504 Corinth Pkwy, Suite 120, Corinth, TX 76208-1315 | 2015-06-01 |
| 1053581207 | Robert E. Crowe | Dentist | 1600 E Shiloh Rd, Corinth, MS 38834-3633 | 2008-03-04 |
| 1568679348 | Vicki Denise Gann | Dentist | 3025 Corder Dr, Corinth, MS 38834-6216 | 2007-05-17 |
| 1447462817 | Marvin E Mcqueen | Dentist | 407 Cruise St, Corinth, MS 38834-4742 | 2007-05-05 |
| 1134340417 | Gary D Lacom | Dentist | 603 Webster, Corinth, MS 38834 | 2007-05-02 |
| 1952436859 | James Ronald Cummins | Dentist | 1408 Highway 72 E, Corinth, MS 38834-6565 | 2007-02-22 |
| 1558423715 | Richard C Strachan | Dentist | 1402 N Harper Road Ext, Corinth, MS 38834-3717 | 2006-12-14 |
| 1801968714 | Andrew F Moore | Dentist | 900 Shiloh Road, Corinth, MS 38834-2620 | 2006-11-15 |
| 1285722009 | Stephen H. Blair IIi | Dentist | 3127 N. Shiloh Road, Corinth, MS 38834-2910 | 2006-10-10 |
| 1528178381 | William Jonathan Green | Dentist | 214 Center Street, Corinth, NY 12822 | 2006-08-30 |
| Find all providers in CORINTH | ||||
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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.