Mid Town Dental
NPI 1861816670ActiveOrganization· Dentist, General Practice· Jackson, MS
Dentist, General Practice in Jackson, Mississippi, registered in NPPES in February 2014. The authorized official on file is Stevey Gaddis, Office Manager.
Overview
| NPI | 1861816670 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2014 |
| Last updated in NPPES | Feb 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 294096 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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