Dental Professionals of Mississippi, P.C.
NPI 1962831719ActiveOrganization· Dentist, General Practice· Vicksburg, MS
Dentist, General Practice in Vicksburg, Mississippi, registered in NPPES in November 2013, part of Dental Professionals of Mississippi, P.C. The authorized official on file is Kim Wilson, Cred. Supervisor.
Overview
| NPI | 1962831719 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of Mississippi, P.C. |
| NPI issued | Nov 2, 2013 |
| Last updated in NPPES | Nov 2, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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