Search › Mississippi › 1223G0001X
Jacob Fanning, DMD
NPI 1669365110 · on the registry since 2025
Practice
- Address
- 301 Hospital Rd
Starkville, MS 39759 - Phone
- (662) 323-3245
- Organisation at this address
- Starkville Smiles, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi