Dr. Jackie Maurice Mullen
DDS.PA | Dentist
901 N Winstead Ave, Suite 120, Rocky Mount
North Carolina, 27804-8467
252-443-7575 252-443-0858
Maps & DirectionsDr. Jackie Maurice Mullen is a Rocky Mount, North Carolina based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jackie Maurice Mullen is
3486 for General Practice Dentistry in North Carolina. His current practice location is
901 N Winstead Ave, Suite 120, Rocky Mount. Patients can reach him at
252-443-7575.
Dr. Jackie Maurice Mullen is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jackie Maurice Mullen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jackie Maurice Mullen |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS.PA |
| Accepts Medicare Assignment: | No |
| Practice Address: | 901 N Winstead Ave, Suite 120, Rocky Mount,
North Carolina, 27804-8467 |
| Phone: | 252-443-7575 |
| Fax: | 252-443-0858 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902975303 |
| NPI Enumeration Date: | 07 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jackie Maurice Mullen are as mentioned below.
| License Number | Specialization | State | Status | |
| 3486 | General Practice Dentistry | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jackie Maurice Mullen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8996276 | Medicaid | North Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 901 N Winstead Ave, Suite 120
Rocky Mount, North Carolina |
| Zip: | 27804-8467 |
| Phone Number: | 252-443-7575 |
| Fax Number: | 252-443-0858 |
Patients can reach Dr. Jackie Maurice Mullen at
901 N Winstead Ave, Suite 120, Rocky Mount, North Carolina or can
call to book an appointment on 252-443-7575.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.