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Deactivated NPI 1861629974 Deactivated / Inactive NPI Male Practitioner

Dr. Carroll Womack Dew , DDS

Dentist • 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. Carroll Dew has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2009
NPI Deactivation Date July 30, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Carroll Dew, DDS was a registered Dentist practicing in Jackson, MS. Throughout an active medical career spanning 17 years, Dr. Dew provided care at the practice location at 2500 N STATE ST until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6019846194
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 2782-94

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lamar Davis , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1003006206

Doctor of Medicine (M.D.)

NPI 1003014606

Doctor of Medicine (M.D.)

NPI 1003062605

Doctor of Medicine (M.D.)

Dr. Mary Kinney Corley , MD

Obstetrics & Gynecology

NPI 1003070863

Doctor of Medicine (M.D.)

Dr. Laura Vearrier , MD

Emergency Medicine

NPI 1003076035

Doctor of Medicine (M.D.)

NPI 1003103342

Doctor of Dental Surgery

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 July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active June 16, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2009

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846194)

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Updated Business Mailing Address June 16, 2009

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846194)

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Provider Name / Credentials Updated June 16, 2009

Recorded as CARROLL DEW, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2009

Dentist (License #2782-94 in MS)

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Initial NPI Registration & Enumeration June 16, 2009

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: 1861629974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2009
Last Update: June 16, 2009
Deactivation Date: July 30, 2026

Mailing Address

2500 N State St

Jackson, MS 392164500

Phone: 6019846194

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.