Individual provider · Type 1 NPI

Kristain Jerae Coke

General Practice Dentistry · Jackson, MS

NPI number 1215596952 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-6028 Map

Mailing address

929 Dr. D.b. Todd Jr. Blvd
Nashville, TN 37208

Other practice locations

  • 7666 Highway 72 W, Madison, AL 35758-9556 · (256) 325-0471

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0006806 (AL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1215596952

Kristain Jerae Coke's National Provider Identifier is 1215596952, issued on Jun 6, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MS. The record was last updated on Jun 3, 2026.