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

State of Mississippi - University of Mississippi Medical Center

Organization Dentist · NPI 1184765372

State of Mississippi - University of Mississippi Medical Center provides Dentist services in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-4699
Fax: (601) 815-6137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (MS)

Record details

NPI number1184765372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Clardy — Practice Manager · (601) 984-4699
Other names University Dentists
NPI enumeratedFebruary 9, 2007
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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