NPI 1023241767

Hattiesburg Road Dental, P.C.

Organisation General Practice Dentistry Jackson, MS

Practice location

Address: 4463 N State St, Jackson, MS 39206-5306
Phone: (800) 920-9947
Mailing address: 210 Interstate North Pkwy SE STE 300, Atlanta, GA 30339-2233

Authorised official

Name: Dale G Mayfield
Title: President
Phone: (770) 916-5036

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Mississippi →

Endodontics

Dental Providers Taxonomy 1223E0200X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1023241767
Entity type: Organization
NPI issued: 28 Aug 2009
Record last updated: 27 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.