Organization
MITCHELL DENTAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID MITCHELL SR. DMD (OWNER)
(662) 803-3000
Entity
Organization
Contact information
Practice address
1171 W MAIN ST., ACKERMAN, MS 39735-9049
(662) 634-4689
(662) 388-8179
Mailing address
PO BOX 68, ACKERMAN, MS 39735-0068
(662) 285-6828
(662) 285-6896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03806868
—
MS
Enumeration date
09/10/2008
Last updated
06/11/2025
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