Healthcare Provider Details

I. General information

NPI: 1902713001
Provider Name (Legal Business Name): ATKINS DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MEDICAL PARK DR
FULTON MS
38843-8012
US

IV. Provider business mailing address

6 MEDICAL PARK DR
FULTON MS
38843-8012
US

V. Phone/Fax

Practice location:
  • Phone: 662-862-7434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL ATKINS
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 601-540-7306