Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Jackson Family Dental, PLLC

Organization General Practice Dentistry · NPI 1821406570

South Jackson Family Dental, PLLC is a General Practice Dentistry in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5643 Highway 18 W Ste G
Jackson, MS 39209-9529
Phone: (601) 922-0056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2940-96MS (MS)

Record details

NPI number1821406570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lake Garner — Owner · (601) 271-8710
NPI enumeratedJuly 25, 2014
Last updated in NPPESJuly 25, 2014
Mailing addressPo Box 18560, Hattiesburg, MS 39404-8560

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