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Deactivated NPI 1124154802 Deactivated / Inactive NPI Male Practitioner

Dr. Cottrell Cabe Mitchell , DDS

Dentist - General Practice • Jackson, MS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cottrell Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2007
NPI Deactivation Date February 24, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Cottrell Mitchell, DDS was a registered Dentist - General Practice practicing in Jackson, MS. Throughout an active medical career spanning 13 years, Dr. Mitchell provided care at the practice location at 1604 ROBINSON ST until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

1604 Robinson St

Jackson, MS 392096423

Telephone 6013556666
Fax 6013552565

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 160974

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1604 ROBINSON ST, JACKSON, MS 392096423 (Tel: 6013556666)

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Updated Business Mailing Address July 08, 2007

Registered at 1604 ROBINSON ST, JACKSON, MS 392096423 (Tel: 6013556666)

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Provider Name / Credentials Updated July 08, 2007

Recorded as COTTRELL MITCHELL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #160974 in MS)

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Initial NPI Registration & Enumeration February 26, 2007

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: 1124154802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: July 08, 2007
Deactivation Date: February 24, 2020

Mailing Address

1604 Robinson St

Jackson, MS 392096423

Phone: 6013556666

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.