MEDICARE: METRO DENTAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1720390693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO DENTAL INC

Provider Business Mailing Address
First Line	:	1836 CRANE RIDGE DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4901
Country	:	US
Telephone Number	:	601-862-2752
Fax Number	:

Provider Business Practice Location Address
First Line	:	1836 CRANE RIDGE DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4901
Country	:	US
Telephone Number	:	601-862-2752
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JIM POLLES
Credential	:	MP PA
Telephone Number	:	601-862-2752

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	07/08/2010

Similar Medicare Providers

1669482014 — DR. JIM H POLLES D.M.D.
Practice Location Address:

1836 CRANE RIDGE DR , SUITE A
JACKSON, MS
39216-4901

Practice Phone: 601-362-1118
Practice Fax: 601-362-3113

1720413768 — JIM H. POLLES, D.M.D., P.A.
Practice Location Address:

1836 CRANE RIDGE DR , SUITE A
JACKSON, MS
39216-4901

Practice Phone: 601-362-1118
Practice Fax: 601-362-3113

1952294837 — SMILE MISSION MISSISSIPPI LLC
Practice Location Address:

1836 CRANE RIDGE DR
JACKSON, MS
39216-4901

Practice Phone: 786-701-8246
Practice Fax:

1174474696 — LAUREN ELIZABETH CANTRELL
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4500

Practice Phone: 601-984-1000
Practice Fax:

1255911731 — DR. STEVEN CHILDRESS MD
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4505

Practice Phone: 601-984-5153
Practice Fax:

1184574451 — MR. THOMAS MALONEY HARKINS III NP
Practice Location Address:

971 LAKELAND DR STE 657
JACKSON, MS
39216-4608

Practice Phone: 601-200-2780
Practice Fax: 601-200-2788

Directions to “METRO DENTAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.