Jackie S. McClain, D.D.S. , P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 7273 Issued in TN

Practice address

1030 Mulberry Ave
Selmer, TN 38375-6629

Phone

(731) 646-0021

Fax

(731) 434-0382

NPI assigned

Oct 4, 2006

Last updated

Mar 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mulberry Dental, PLLC

  • General Practice Dentistry
  • Selmer, TN
  • NPI 1881559045
  NPD
• Iuka Family Dental, PLLC

  • Dental Clinic/Center
  • Iuka, MS
  • NPI 1851979868
  NPD
• Dental Arts of Corinth

  • General Practice Dentistry
  • Corinth, MS
  • NPI 1508029448
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1891881348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MULBERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383756629",
            "telephone_number": "731-646-0021",
            "fax_number": "731-434-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MULBERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383756629",
            "telephone_number": "731-646-0021",
            "fax_number": "731-434-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JACKIE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.D.S. , P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 7273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DS 7273",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Maness, APN
• Elizabeth Ann Manley, D.PH.
• Dana Kay Martin, C.F.N.P.
• Theresa Matlock, B.S.
• Brenda K Matlock0
• Jessica McIntosh, BUS
• Caleb McLean, BS
• Kenny McLeod, LMSW
• McNairy Clinic Corp
• McNairy County Developmental Services

• General Practice Dentistry in Selmer, TN
• Providers in Selmer, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.