DR. ELGIN KENNETH WALLEY


Address: 2174 Henry Hill Drive, Jackson, MS 39204
Phone: 6019223888

DR. ELGIN KENNETH WALLEY (NPI# 1922117662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922117662
Entity Type Individual
Full Name DR. ELGIN KENNETH WALLEY
Credential D.D.S.
Practice Address 2174 Henry Hill Drive
Jackson
MS 39204
Practice Telephone 6019223888
Practice Fax Number 6019223871
Mailing Telephone 6019223888
Mailing Fax Number 6019223871
Enumeration Date 2006-08-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
1588-730R17/80 MS Dental Providers

Office Location

Street Address 2174 HENRY HILL DRIVE
City JACKSON
State MS
Zip Code 39204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1427593888 Care First Home Care Agency, Inc In Home Supportive Care 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 2016-12-21
1134678808 Yolonda Kinzie Registered Nurse 1134 Winter St., Jackson, MS 39204 2016-09-23
1578983938 Seaneather Arline Mcgill Nurse's Aide 2024 Shady Lane Dr, Jackson, MS 39204 2014-04-23
1942591128 Real Solutilons, LLC Exclusive Provider Organization 831 Hwy 80 W., Jackson, MS 39204 2011-04-22
1548405236 Visions Physical Therapy Specialist/Technologist 4700 Robinson Rd, Jackson, MS 39204 2008-12-09
1588759393 Donald H Butts Specialist 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 2006-10-04
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1376555045 Linda Nell Hunter Nurse Practitioner 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 2006-08-12
1104871573 Isd Renal Inc Clinic/Center 1828 Raymond Rd, Jackson, MS 39204 2006-05-24
Find all providers in zip 39204

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386277291 Smile Straight Orthodontics-central Ms Pllc Dentist 310 W Woodrow Wilson Ave Ste 400, Jackson, MS 39213-7697 2020-02-19
1467771386 Eric Richard Buchner Dentist 190 Murray Guard Dr, Jackson, TN 38305-3609 2010-05-18
1962653592 David F Elliott Dentist 10 S New Prospect Rd, Suite 23, Jackson, NJ 08527-1645 2008-10-01
1194904094 Bierdeman Othodontics Pa Dentist 2680 River Ridge Road, Jackson, MS 39216-5018 2007-10-26
1366631335 Stephen E Owens Jr. Dentist 1130 S Hwy 89, Jackson, WY 83001 2007-10-16
1770771495 Shannon Edward Owens Dentist 1130 South Hwy 89, Jackson, WY 83001-0628 2007-10-09
1407040686 James Ray Hight Jr. Dentist 101 Max Lane Drive, Jackson, TN 38305 2007-08-30
1821293820 Kevin J Robinson Dentist 77 Northfork Cv, Jackson, TN 38305-7903 2007-06-19
1295937498 Dr. Louis B. Guy, Jr.,dds, Mspa Dentist 247 Highland Village, Jackson, MS 39211 2007-06-01
1134349160 Lloyd B. Wolfe Jr. Dentist 406 Briarwood Dr Ste 102, Jackson, MS 39206-3059 2007-05-01
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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