Mississippi Prosthetic Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MISSISSIPPI PROSTHETIC DENTISTRY, PLLC

Practice address

4500 I 55 N Ste 266
Jackson, MS 39211-5932

Phone

(601) 473-3578

NPI assigned

May 25, 2021

Last updated

Jun 23, 2021By 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

Matthew Milner, DMDNPI 1750580254

Title

Owner

Phone

(601) 473-3578

Specialties & licenses 1

Addresses

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.

• Matthew L Milner, D.M.D.

  • Prosthodontics
  • Jackson, MS
  • NPI 1750580254
  Authorized official Same address or phone

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1871168567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 266",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 I 55 N STE 266",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115932",
            "telephone_number": "601-473-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI PROSTHETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-473-3578",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi Neurological Institute LLC
• Mississippi Oncology Associates
• Mississippi Pain Management
• Mississippi PHS PC
• Mississippi Physicians LLP
• Mississippi Smiles Dentistry LLC (Mississippi Smiles)
• Mississippi Smiles Dentistry LLC (Mississippi Smiles)
• Mississippi Spine Clinic PLLC
• Mississippi Sports Medicine & Orthopaedic Center
• Mississippi State Department of Health

• Dental Clinic/Center in Jackson, MS
• Providers in Jackson, 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 Jun 23, 2021; 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.