Kenneth a. Bailey, Jr. DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KENNETH A. BAILEY, JR. DDS PA

Practice address

345 North Mart Plaza
Jackson, MS 39206

Phone

(601) 981-1000

Fax

(601) 981-9440

NPI assigned

Nov 20, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Anthony Bailey Jr., DDSNPI 1255441770

Title

Owner/Dentist

Phone

(601) 981-1000

Specialties & licenses 1

Addresses

Other names 1

• Jackson Dental Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Anthony Bailey Jr., DDS

  • Dentist
  • Jackson, MS
  • NPI 1255441770
  NPD Authorized official
• Hunter Horton, DMD

  • Dentist
  • Jackson, MS
  • NPI 1497448781
  NPD

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1346015385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 NORTH MART PLAZA",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-981-1000",
            "fax_number": "601-981-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 NORTH MART PLAZA",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-981-1000",
            "fax_number": "601-981-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. BAILEY, JR. DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-981-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Kennedy, MD
• Mason Kennedy
• Ronald Kennedy, M.D.
• Sara Michael Kennedy, FNP-C
• Tedi Kennedy, NP
• Kenneth G.Perry Jr., M.D P.a
• Jamesia Kenney
• Heather D Kent, LPC
• Lindsey Fontaine Kent, M.D.
• Elizabeth Allen Kerby

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.