Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710921135 Individual Practitioner Male Practitioner

Dr. John Patterson , DDS

Dentist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. John Patterson, DDS is a registered healthcare professional specializing in Dentist in Jackson, MS. Practice services are available at 3502 W NORTHSIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3502 W Northside Dr

Jackson, MS 392134454

Telephone 6013625321
Fax 6013642600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
82 Specialists

Practicing in Jackson, MS (563 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MS 2030-83

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00060027 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Tiffani Mcknight

Social Worker - Clinical

NPI 1003388968
Katrice Andrews , FNP-C

Nurse Practitioner - Family

NPI 1013451780

Family Nurse Practitioner (Certified)

Ericia Cannon , NURSE PRACTITONER

Nurse Practitioner - Family

NPI 1013473891

NURSEPRACTITONER

Jequetta Mclaurin , FNP

Nurse Practitioner - Family

NPI 1013698513

Family Nurse Practitioner

Dr. Chad Rhoden , MD

Family Medicine

NPI 1043387764

Doctor of Medicine (M.D.)

Shamina Khanum , DENTIST

Dentist - General Practice

NPI 1053724120

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 20, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

📍
Updated Business Mailing Address December 20, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

👤
Provider Name / Credentials Updated December 20, 2007

Recorded as JOHN PATTERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2007

Dentist (License #2030-83 in MS)

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Patterson. Be the first to share your experience!

Sign in to leave a review for Dr. John Patterson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1710921135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: December 20, 2007
Sole Proprietor: No

Mailing Address

3502 W Northside Dr

Jackson, MS 392134454

Phone: 6013625321

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.