IndividualActive
Jacob Fanning, DMD
NPI 1669365110 · General Practice Dentistry · Starkville, MS
Jacob Fanning, DMD is a General Practice Dentistry provider in Starkville, MS (NPI 1669365110).
Provider details
- NPI number
- 1669365110
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 111164 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
301 Hospital Rd
Starkville, MS 39759-2155
Phone: (662) 323-3245
Street-level locationGet directions
Mailing address
10630 Road 573
Philadelphia, MS 39350-8304
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Jacob Fanning's NPI number?
- Jacob Fanning's National Provider Identifier (NPI) is 1669365110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Fanning's specialty?
- Jacob Fanning is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacob Fanning located?
- Jacob Fanning's practice location on file with NPPES is 301 Hospital Rd, Starkville, MS 39759-2155.
- What is Jacob Fanning's phone number?
- The practice phone number listed in the NPPES registry for Jacob Fanning is (662) 323-3245.
- Is Jacob Fanning's NPI active?
- Yes — Jacob Fanning's NPI (1669365110) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.