OrganizationActive
State of Mississippi - University of Mississippi Medical Center
NPI 1184765372 · Dentist · Jackson, MS
State of Mississippi - University of Mississippi Medical Center is a Dentist organization in Jackson, MS (NPI 1184765372).
Provider details
- NPI number
- 1184765372
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Stacy Clardy, Practice Manager(601) 984-4699
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-4699
Fax: (601) 815-6137
Street-level locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Other names (DBA / former)
- Doing business as
- University Dentists
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is State of Mississippi - University of Mississippi Medical Center's NPI number?
- State of Mississippi - University of Mississippi Medical Center's National Provider Identifier (NPI) is 1184765372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Mississippi - University of Mississippi Medical Center?
- State of Mississippi - University of Mississippi Medical Center is classified in the NPPES registry as Dentist (Dental Providers).
- Where is State of Mississippi - University of Mississippi Medical Center located?
- State of Mississippi - University of Mississippi Medical Center's practice location on file with NPPES is 2500 N State St, Jackson, MS 39216-4500.
- What is State of Mississippi - University of Mississippi Medical Center's phone number?
- The practice phone number listed in the NPPES registry for State of Mississippi - University of Mississippi Medical Center is (601) 984-4699.
- Who is the authorized official for State of Mississippi - University of Mississippi Medical Center?
- The authorized official listed on State of Mississippi - University of Mississippi Medical Center's NPPES record is Stacy Clardy, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Mississippi - University of Mississippi Medical Center's NPI active?
- Yes — State of Mississippi - University of Mississippi Medical Center's NPI (1184765372) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.