Ms. Shamina Khanum is a Jackson, Mississippi based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ms. Shamina Khanum is
4090-19 for General Practice Dentistry in Mississippi. Her current practice location is
3502 West Northside Drive, Jackson. Patients can reach her at
601-362-5321.
Ms. Shamina Khanum is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ms. Shamina Khanum 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: | Ms. Shamina Khanum |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DENTIST |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3502 West Northside Drive, Jackson,
Mississippi, 39213 |
| Phone: | 601-362-5321 |
| Fax: | 601-364-2600 |
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: | 1053724120 |
| NPI Enumeration Date: | 06 Jun, 2014 |
| NPI Last Update On: | 15 Jan, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Shamina Khanum are as mentioned below.
| License Number | Specialization | State | Status | |
| 4090-19 | General Practice Dentistry | Mississippi | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3502 West Northside Drive, Jackson Hinds Comprehensive,
Tupelo, Mississippi |
| Zip: | 38801 |
| Phone Number: | 601-362-5321 |
| Fax Number: | 601-364-2600 |
Patients can reach Ms. Shamina Khanum at
3502 West Northside Drive, Jackson, Mississippi or can
call to book an appointment on 601-362-5321.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.