Individual provider · Type 1 NPI

Teresa Mixon Perkins, DMD

Pediatric Dentistry · Jackson, MS

NPI number 1164579504 Active

Practice location

5550 Ridgewood Rd Ste A
Jackson, MS 39211-4024

Fax (601) 981-9304

Mailing address

5550 Ridgewood Rd
Jackson, MS 39211-4024

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X4749 (LA)
Pediatric Dentistry 1223P0221XPEDO16589 (MS)
Pediatric Dentistry Primary 1223P0221X242188 (MS)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1164579504

Teresa Mixon Perkins, DMD's National Provider Identifier is 1164579504, issued on Jan 5, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, MS. The record was last updated on Sep 19, 2020.