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Contact Information

MITCHELL DENTAL CLINIC, INC
59 FRONTAGE RD N
STE 2
MACON, MS39341
 Phone: 662-726-4344
 Fax: 662-726-4360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MITCHELL DENTAL CLINIC INC · (Female)

NPI # 1497981658
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2009
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 2685-92
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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