Charles E Atkins, Jr DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1284-07 Issued in MS

Legal business name

CHARLES E ATKINS, JR DMD

Practice address

532 Main St
Philadelphia, MS 39350-2562

Phone

(601) 650-0089

Fax

(601) 650-0056

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tori Mordecai

Title

Office Manager

Phone

(662) 329-3931

Specialties & licenses 1

Addresses

Tax ID family

Charles E Atkins Jr DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Charles E Atkins Jr, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
  • NPI 1285764787
  NPD tax ID

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730219130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PLANTATION DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051138",
            "telephone_number": "662-329-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502562",
            "telephone_number": "601-650-0089",
            "fax_number": "601-650-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E ATKINS, JR DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORDECAI",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-329-3931"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "1284-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Cain, NP-C
• George B. Campbell, D.O.
• Heather Cannon, M.D.
• Skye Carlisle, PMHNP
• Kajol Ben Champaneri, PHARMD
• Chris Cheatham
• Melissa Gray Clark, R. P. T.
• Jordan Clearman
• Paula Clearman, F.N.P.
• Julie Holley Coleman, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.