Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. John Mathis, DMD

Individual provider Dentist · NPI 1669080081

Mr. John Mathis, DMD is a Dentist in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1013 W Jackson St
Tupelo, MS 38804-1907
Phone: (662) 823-7900
Fax: (662) 823-7920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4139-20 (MS)

Record details

NPI number1669080081
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

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