OrganizationActive
Jcc, LLC
NPI 1669850004 · Pediatric Dentistry · Hernando, MS
Jcc, LLC is a Pediatric Dentistry organization in Hernando, MS (NPI 1669850004).
Provider details
- NPI number
- 1669850004
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Coleman, Owner(662) 298-2095
- License
- PEDO 359 02 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1150 Monteith Avenue
Suite 102
Hernando, MS 38632
Phone: (662) 298-2095
Street-level locationGet directions
Mailing address
1150 Monteith Avenue
Hernando, MS 38632
Other names (DBA / former)
- Doing business as
- Children'S Dental Center
Registry dates
- Enumerated
- 2015-05-18
- Last updated
- 2015-05-18
Frequently asked questions
- What is Jcc, LLC's NPI number?
- Jcc, LLC's National Provider Identifier (NPI) is 1669850004, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jcc, LLC?
- Jcc, LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Jcc, LLC located?
- Jcc, LLC's practice location on file with NPPES is 1150 Monteith Avenue, Hernando, MS 38632.
- What is Jcc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jcc, LLC is (662) 298-2095.
- Who is the authorized official for Jcc, LLC?
- The authorized official listed on Jcc, LLC's NPPES record is Jason Coleman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jcc, LLC's NPI active?
- Yes — Jcc, LLC's NPI (1669850004) is active in the NPPES registry as of the last update on 2015-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.