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Dental Professionals of Mississippi, P.C.

General Practice Dentistry in Vicksburg, MS · enumerated 2013 · authorized official Kim Wilson, Cred. Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962831719

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Registry record

Entity type Organization (Type 2)
Legal business name Dental Professionals of Mississippi, P.C.
Other name <Unavail>
Parent organization Dental Professionals of Mississippi, P.C.
Practice address 1805 Mission 66, Vicksburg, MS, 39180
Phone (601) 638-2361
Fax (601) 634-0864
Enumeration date Nov 2, 2013
Last updated in NPPES Nov 2, 2013

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kim Wilson
Title Cred. Supervisor
Phone (217) 540-5170

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-11-02. Verify at npiregistry.cms.hhs.gov.
Where is Dental Professionals of Mississippi, P.C. located?
The practice location on file with NPPES is in Vicksburg, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-02.