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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

NPI Number 1497981658
LBN Legal business name MITCHELL DENTAL CLINIC, INC
Authorized official JOHN MITCHELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2009
Last updated 11/10/2025 - About 7 months ago
Identifiers
MS License # 2685-92
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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