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Active NPI 1013921998 Individual Practitioner Male Practitioner

Dr. Acie Whitlock , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Acie Whitlock, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 514G E WOODROW WILSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

514g E Woodrow Wilson Ave

Jackson, MS 392164538

Telephone 6019827636
Fax 6019824536
Associated Practice Facility / Clinic
🏢 Apcew Pa Facility NPI 1356537948

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
96 Specialists

Practicing in Jackson, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 230386

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00660232 (MS)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2007

Registered at 514G E WOODROW WILSON AVE, JACKSON, MS 392164538 (Tel: 6019827636)

📍
Updated Business Mailing Address September 18, 2007

Registered at 514G E WOODROW WILSON AVE, JACKSON, MS 392164538 (Tel: 6019827636)

👤
Provider Name / Credentials Updated September 18, 2007

Recorded as ACIE WHITLOCK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2007

Dentist (License #230386 in MS)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013921998
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: September 18, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

514g E Woodrow Wilson Ave

Jackson, MS 392164538

Phone: 6019827636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.