Jackson Dental Care, PLLC
NPI 1386867414ActiveOrganization· Dentist· Flowood, MS
Dentist in Flowood, Mississippi, registered in NPPES in April 2007. The authorized official on file is Shirley G. Walker, Office Manager.
Overview
| NPI | 1386867414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2007 |
| Last updated in NPPES | Jun 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 235987 | MS |
| Dentist | 122300000X | 192481 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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