OrganizationActive
South Jackson Family Dental, PLLC
NPI 1821406570 · General Practice Dentistry · Jackson, MS
South Jackson Family Dental, PLLC is a General Practice Dentistry organization in Jackson, MS (NPI 1821406570).
Provider details
- NPI number
- 1821406570
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lake Garner, Owner(601) 271-8710
- License
- 2940-96MS (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 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
5643 Highway 18 W
Suite G
Jackson, MS 39209-9529
Phone: (601) 922-0056
Street-level locationGet directions
Mailing address
Po Box 18560
Hattiesburg, MS 39404-8560
Registry dates
- Enumerated
- 2014-07-25
- Last updated
- 2014-07-25
Frequently asked questions
- What is South Jackson Family Dental, PLLC's NPI number?
- South Jackson Family Dental, PLLC's National Provider Identifier (NPI) is 1821406570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Jackson Family Dental, PLLC?
- South Jackson Family Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is South Jackson Family Dental, PLLC located?
- South Jackson Family Dental, PLLC's practice location on file with NPPES is 5643 Highway 18 W, Jackson, MS 39209-9529.
- What is South Jackson Family Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for South Jackson Family Dental, PLLC is (601) 922-0056.
- Who is the authorized official for South Jackson Family Dental, PLLC?
- The authorized official listed on South Jackson Family Dental, PLLC's NPPES record is Lake Garner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Jackson Family Dental, PLLC's NPI active?
- Yes — South Jackson Family Dental, PLLC's NPI (1821406570) is active in the NPPES registry as of the last update on 2014-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.