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

Dr. Jason Kenneth Coleman, DMD

Individual provider Pediatric Dentistry · NPI 1477665065

Dr. Jason Kenneth Coleman, DMD is a Pediatric Dentistry in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

3964 Goodman Rd E Ste 128
Southaven, MS 38672-8761
Phone: (662) 893-7337
Fax: (662) 893-7881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3112-99 (MS)

Record details

NPI number1477665065
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

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