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Active NPI 1801965256 Individual Practitioner Male Practitioner

Dr. Johnny Dee Neely , DMD

Dentist - General Practice • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Johnny Neely, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jackson, MS. Practice services are available at 1491 CANTON MART RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1491 Canton Mart Rd
Building A Suite C

Jackson, MS 392115411

Telephone 6019910044

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 2192-85

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1491 CANTON MART RD, BUILDING A SUITE C, JACKSON, MS 392115411 (Tel: 6019910044)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1491 CANTON MART RD, BUILDING A SUITE C, JACKSON, MS 392115411 (Tel: 6019910044)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNNY NEELY, DMD

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

Dentist (License #2192-85 in MS)

🟢
Initial NPI Registration & Enumeration November 07, 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: 1801965256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1491 Canton Mart Rd, Building A Suite C

Jackson, MS 392115411

Phone: 6019910044

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.