Advance Dental Clinic
Advance Dental Clinic is a healthcare organization registered as Dentist in Jackson, MS, holding Type 2 (organization) NPI 1073708913 since 2007. The authorized official on file is Denessa Toombs, Owner/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073708913 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advance Dental Clinic |
| Practice address | 1555 E COUNTY LINE RD, Jackson, MS, 39211 |
| Phone | 6012061112 |
| Fax | 6012061114 |
| Enumeration date | 2007-09-13 |
| Last updated in NPPES | 2007-09-13 |
Authorized official
| Name | Denessa Toombs |
|---|---|
| Title | Owner/Manager |
| Phone | 6012061112 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 3314-04 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02674220 | Medicaid | MS | — |
Copy-ready billing details
Provider: Advance Dental Clinic NPI: 1073708913 Taxonomy: 122300000X (Dentist) Address: 1555 E COUNTY LINE RD, Jackson, MS, 39211
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1649536335 | Roxanne Lawrence | Individual | General Practice Dentistry | Jackson, MS |
Verify this record
Cross-check NPI 1073708913 against the authoritative CMS record: view Advance Dental Clinic on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Advance Dental Clinic?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-09-13.