Hattiesburg Road Dental, P.C.
NPI 1023241767 · General Practice Dentistry · Jackson, MS
Hattiesburg Road Dental, P.C. is a General Practice Dentistry organization in Jackson, MS (NPI 1023241767).
Provider details
- NPI number
- 1023241767
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dale Mayfield, President(770) 916-5036
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kool Smiles
- Doing business as
- Sunnybrook Dentistry & Braces
Registry dates
- Enumerated
- 2009-08-28
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Hattiesburg Road Dental, P.C.'s NPI number?
- Hattiesburg Road Dental, P.C.'s National Provider Identifier (NPI) is 1023241767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hattiesburg Road Dental, P.C.?
- Hattiesburg Road Dental, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Hattiesburg Road Dental, P.C. located?
- Hattiesburg Road Dental, P.C.'s practice location on file with NPPES is 4463 N State St, Jackson, MS 39206-5306.
- What is Hattiesburg Road Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Road Dental, P.C. is (800) 920-9947.
- Who is the authorized official for Hattiesburg Road Dental, P.C.?
- The authorized official listed on Hattiesburg Road Dental, P.C.'s NPPES record is Dale Mayfield, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hattiesburg Road Dental, P.C.'s NPI active?
- Yes — Hattiesburg Road Dental, P.C.'s NPI (1023241767) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.