Organization
MITCHELL DENTAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D MITCHELL JR. DMD (OWNER)
(662) 803-3000
Entity
Organization
Contact information
Practice address
59 FRONTAGE RD N, STE 2, MACON, MS 39341
(662) 726-4344
(662) 726-4360
Mailing address
PO BOX 306, MACON, MS 39341
(662) 726-4344
(662) 726-4360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2685-92
MS
Other
Enumeration date
06/02/2009
Last updated
11/10/2025
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