Perkins, Teresa Mixon

Perkins, Teresa Mixon is an sole proprietor health care provider with primary practice located at 5550 Ridgewood Rd Ste A , Jackson MS 39211-4024. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Perkins, Teresa Mixon can be contacted via phone (601) 981-9303.

Contact Information

Primary practice address
5550 Ridgewood Rd Ste A Jackson MS 39211-4024
Phone: (601) 981-9303
Fax: (601) 981-9304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4749 Louisiana
Dental Providers / Pediatric Dentistry 1223P0221X PEDO16589 Mississippi
Dental Providers / Pediatric Dentistry 1223P0221X 242188 Mississippi

Profile Details

NPI number 1164579504
LBN Legal business name Perkins, Teresa Mixon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Sep 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164579504 NPPES
Louisiana MEDICAID 1847496
Louisiana MEDICAID 02058365

Popular Providers