OrganizationActive
Mississippi Prosthetic Dentistry, PLLC
NPI 1871168567 · Dental Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1871168567
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Milner, Owner(601) 473-3578
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4500 I 55 N Ste 266
Jackson, MS 39211-5932
Phone: (601) 473-3578
Approximate (ZIP-level) locationGet directions
Mailing address
4500 I 55 N Ste 266
Jackson, MS 39211-5932
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-06-23
- Certified
- 2021-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.