Jaya L Dental Arts PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAYA L DENTAL ARTS PLLC

Doing business as

Advanced Dental and TMJ Center

Practice address

399 Southcrest CT
Suite C
Southaven, MS 38671-4790

Phone

(901) 606-2800

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep Adatrow, DDSNPI 1992803571

Title

President

Phone

(901) 606-2800

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental and TMJ Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pradeep Adatrow, DDS

  • Dentist
  • Southaven, MS
  • NPI 1992803571
  NPD (past) Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1518323708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 SOUTHCREST CT",
            "address_2": "SUITE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714790",
            "telephone_number": "901-606-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 SOUTHCREST CT",
            "address_2": "SUITE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714790",
            "telephone_number": "901-606-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYA L DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "ADATROW",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-606-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental and TMJ Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Mechelle James
• Robin James
• Srinivasa Varma Jampana, MD
• Janus RX LLC
• Fatima Javed
• Jeff Moye Inc.
• Alice Dawn Jenkins, RPH
• Mary Horton Jenkins
• Jacob Alexander Jensen, DO
• Weijun Jin

• Dental Clinic/Center in Southaven, MS
• Providers in Southaven, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.