Organization Active NPI

Noel K. Toler,Jr.,D.D.S.,P.a.

  • Dental Clinic/Center
  • Jackson, MS
National Provider Identifier
1194997775
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2435-88 Issued in MS
Legal business name
NOEL K. TOLER,JR.,D.D.S.,P.A.
Practice address
2600 River Ridge Dr
Jackson, MS 39216-5013
Phone
(601) 981-3020
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Noel Kennedy Toler III, D.M.D.
Title
President
Phone
(601) 981-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2435-88 MS Primary

Addresses

Primary practice location

2600 River Ridge Dr
Jackson, MS 39216-5013

Mailing address

2600 River Ridge Dr
Jackson, MS 39216-5013
Phone (601) 981-3020

National Provider Directory

National Provider Directory

Locations

2600 River Ridge Dr
Jackson, MS 39216
Phone (601) 981-3020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1194997775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 RIVER RIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165013",
            "telephone_number": "601-981-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 RIVER RIDGE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165013",
            "telephone_number": "601-981-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL K. TOLER,JR.,D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "TOLER",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-981-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "2435-88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.