ORAL PATHOLOGY SERVICES-UMC NPI 1336320795

NPI Information

  • NPI: 1336320795
  • Provider Name: ORAL PATHOLOGY SERVICES-UMC
  • Classification: Dental Laboratory - 292200000X
  • Entity Type: Organization
  • Address: 2500 N STATE ST
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-6194

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NPI Details

ORAL PATHOLOGY SERVICES-UMC is a dental laboratory in Jackson, MS. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. ORAL PATHOLOGY SERVICES-UMC NPI is 1336320795. The provider is registered as an organization entity type.

The provider's business location address is:

2500 N STATE ST
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-6194
Fax: (601) 815-3901

The provider's authorized official is Stacy Brookerd .
The authorized official title is Manager, Business Operations and has the following contact phone number (601) 984-6094.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 1/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1292200000XDental LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109014021MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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