OrganizationActive
Oral Pathology Services-Umc
NPI 1336320795 · Dental Laboratory · Jackson, MS
Provider details
- NPI number
- 1336320795
- Entity type
- Organization
- Primary specialty
- Dental LaboratoryLaboratories
- Parent organization
- University Dentists, PLLC
- Organization subpart
- Yes
- Authorized official
- Stacy Brookerd, Manager, Business Operations(601) 984-6094
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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) 984-6194
Fax: (601) 815-3901
Street-level locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2007-11-14
- Last updated
- 2012-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.