Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dental Professionals of Mississippi, PC

Organization General Practice Dentistry · NPI 1962831719

Dental Professionals of Mississippi, PC provides General Practice Dentistry in Vicksburg, Mississippi. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1805 Mission 66
Vicksburg, MS 39180-3709 Not confirmed with CMS for 12 years — call before visiting
Phone: (601) 638-2361
Fax: (601) 634-0864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1962831719
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDental Professionals of Mississippi, PC
Authorized official Kim Wilson — Cred. Supervisor · (217) 540-5170
Other names My Vicksburg Dentist
NPI enumeratedNovember 2, 2013
Last updated in NPPESNovember 2, 2013
Mailing address1805 Mission 66, Vicksburg, MS 39180-3709

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