NPIMap

Mitchell Dental Clinic, Inc

Organization Active NPI General Practice Dentistry · Ackerman, MS

NPI 1578712980 · NPPES record last updated Jun 11, 2025

Key facts

NPI
1578712980
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
MITCHELL DENTAL CLINIC, INC
Practice address
1171 W Main St.
Ackerman, MS 39735-9049
Phone
(662) 634-4689
Fax
(662) 388-8179
NPI assigned
Sep 10, 2008
Organization subpart
No

Authorized official

Name
John David Mitchell Sr., DMD NPI 1639224231
Title
Owner
Phone
(662) 803-3000

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

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

National Provider Directory

Tax ID family
Mitchell Dental Clinic Inc (3 organizations share this tax ID)

Locations

1171 W Main St
Ackerman, MS 39735
Phone (662) 634-4689

103 N Louisville St
Ackerman, MS 39735

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X MS Yes

Addresses

Primary practice location

1171 W Main St.
Ackerman, MS 39735-9049

Mailing address

PO Box 68
Ackerman, MS 39735-0068
Phone (662) 285-6828

Other identifiers

IdentifierTypeStateIssuer
03806868MedicaidMS

Other providers in Ackerman, MS

All providers in Ackerman, MS · General Practice Dentistry in Mississippi

Sources for this page

Verify at the official NPI Registry.