Jenkins Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3225 Issued in MS

Legal business name

JENKINS DENTAL CARE, INC.

Practice address

211 Highway 82 E
Indianola, MS 38751-2234

Phone

(662) 887-3426

Fax

(662) 887-3698

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Bradford Jenkins, D.M.D.NPI 1730220690

Title

President

Phone

(662) 887-3426

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• William Bradford Jenkins, D.M.D.

  • Dentist
  • Indianola, MS
  • NPI 1730220690

  General Practice

  NPD Authorized official
• Katie Shea Stephens, RDH

  • Dental Hygienist
  • Indianola, MS
  • NPI 1891986410
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801937768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHWAY 82 E",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512234",
            "telephone_number": "662-887-3426",
            "fax_number": "662-887-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHWAY 82 E",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512234",
            "telephone_number": "662-887-3426",
            "fax_number": "662-887-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-887-3426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016029",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Labrintary Jackson
• Stacy Jackson
• James Poe
• James Poe
• James Darrell Jee, M.D.
• William Bradford Jenkins, D.M.D.
• Glenn Joe
• Carolyn S Johnson, FNP
• Julia R. Hill, DMD, PA
• Just Like Home Adult Day Care LLC

• General Practice Dentistry in Indianola, MS
• Providers in Indianola, MS by specialty
• General Practice 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.