DR. JOHN DAVID MITCHELL JR. (NPI# 1639224231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639224231 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID MITCHELL JR. |
| Credential | DMD |
| Practice Address |
1171 West Main Street Ackerman MS 39735 |
| Mailing Address |
Po Box 68 Ackerman MS 39735-9147 |
| Practice Telephone | 6622856828 |
| Practice Fax Number | 6622856896 |
| Mailing Telephone | 6622856828 |
| Mailing Fax Number | 6622856896 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2685920 | MS | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2685-92 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03806868 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952764078 | John Mitchell Iv | Licensed Practical Nurse | 185 Greencroft Rd, Bedford, OH 44146-2064 | 2016-04-05 |
| 1659757722 | John Mitchell | Licensed Vocational Nurse | 2015-07-30 | |
| 1295058105 | John William Mitchell | Specialist/Technologist | 31950 Pauba Rd, Temecula, CA 92592-3500 | 2010-03-05 |
| 1457596603 | John Charles Mitchell IIi | Specialist | 920 10th St Sw, Rochester, MN 55902-2067 | 2008-12-02 |
| 1508909292 | John Carl Mitchell | Spec/Tech, Cardiovascular | 1405 Rockhaven Dr, Modesto, CA 95356-9682 | 2007-02-14 |
| 1487796280 | John P Mitchell | Social Worker | 3300 County Road 10, Suite 400, Brooklyn Center, MN 55429-3072 | 2007-02-12 |
| 1386792406 | John William Mitchell | Counselor | 5100 Poplar Ave Ste 2897, Memphis, TN 38137-4000 | 2007-01-08 |
| 1043371560 | John Douglas Mitchell | Chiropractor | 12271 Sutton Way, Grass Valley, CA 95945 | 2006-12-12 |
| 1851467898 | John R Mitchell | Social Worker | 887 2nd St, Fall River, MA 02721-1998 | 2006-11-28 |
| 1790798601 | John Herman Mitchell Jr. | Dentist | 352 Mission Drive, Simmesport, LA 71369 | 2006-08-14 |
| Street Address |
1171 WEST MAIN STREET |
| City | ACKERMAN |
| State | MS |
| Zip Code | 39735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982122289 | Carroll Bruister IIi | Pharmacist | 222 Mabus, Ackerman, MS 39735 | 2017-09-07 |
| 1619243540 | Phillip Smith | Durable Medical Equipment & Medical Supplies | 9093 Highway 15, Ackerman, MS 39735 | 2012-03-26 |
| 1508174525 | Choctaw County School District | Local Education Agency (LEA) | 19 E. Main St., Ackerman, MS 39735 | 2010-09-24 |
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| 1427232552 | Jennie Bobo | Counselor | 100 Old Sturgis Rd, Ackerman, MS 39735 | 2007-12-26 |
| 1053503623 | Leanna Bryant Baker | Speech-Language Pathologist | 148 W Cherry St, Choctaw County Nursing Home, Ackerman, MS 39735 | 2007-08-16 |
| 1568502300 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 148 West Cherry Street, Ackerman, MS 39735 | 2007-02-08 |
| 1689726283 | Jackie Felda Jones Jr. | Dentist | 11 North Louisville St, Ackerman, MS 39735 | 2007-01-17 |
| 1972612984 | North Mississippi Medical Clinics Inc | Family Medicine | 356 West Cherry Street, Ackerman, MS 39735 | 2006-08-30 |
| 1922115401 | Angela Ann Hays | Nurse Practitioner | 148 W. Cherry St., Ackerman, MS 39735 | 2006-08-23 |
| Find all providers in zip 39735 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710204326 | Ackerman Family Dentistry, Pllc | Dentist | 136 North Louisville Street, Ackerman, MS 39735 | 2010-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.