Individual provider Active NPI

Patrice Nicole Griffith, DMD

  • General Practice Dentistry
  • Jackson, MS
National Provider Identifier
1942730429
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3923-17 Issued in MS
Practice address
1189 E County Line Rd Ste 1010
Jackson, MS 39211-1836
Phone
(601) 308-2022
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3923-17 MS Primary

Addresses

Primary practice location

1189 E County Line Rd Ste 1010
Jackson, MS 39211-1836

Mailing address

5305 Brookhollow Dr
Jackson, MS 39212-2024
Phone (601) 941-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3923-17MSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Straight Orthodontics-Central Ms PLLC PastSince Feb 23, 2020 Accepting new patients
Mississippi Smiles Dentistry LLC General Practice PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1942730429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 BROOKHOLLOW DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122024",
            "telephone_number": "601-941-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 E COUNTY LINE RD STE 1010",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392111836",
            "telephone_number": "601-308-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "PATRICE",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3923-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.