North Mississippi Dental Specialists, Pllc in Southaven - Pediatric Dentistry
North Mississippi Dental Specialists, Pllc - NPI 1578658373
North Mississippi Dental Specialists, Pllc is a Pediatric Dentistry in Southaven, Mississippi. North Mississippi Dental Specialists, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for North Mississippi Dental Specialists, Pllc is 1578658373. The last update date is 2022-05-23.
North Mississippi Dental Specialists, Pllc's current location address is 2925 Nail Rd E Ste 103, Southaven, Mississippi. You can contact this provider via phone number 6628937337 and fax number 6628937881. The mailing address for North Mississippi Dental Specialists, Pllc is 2925 Nail Rd E Ste 103, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Mississippi Dental Specialists, Pllc |
|---|---|
| Address | 2925 Nail Rd E Ste 103, Southaven, Mississippi |
| Phone Number | 6628937337 |
| Fax Number | 6628937881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Musgrave Armstrong Clyde |
| Credentials | D.M.D. |
| Telephone Number | 6628937337 |
NPI Number Detail
| NPI Number | 1578658373 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-05-23 |
Provider Mailing Address Detail
| Address | 2925 Nail Rd E Ste 103 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386726715 |
| Phone Number | 6628937337 |
| Fax Number | 6628937881 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3136-00 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016069 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to North Mississippi Dental Specialists, Pllc by the Centers for Medicare & Medicaid Services?
The North Mississippi Dental Specialists, Pllc has been issued the NPI (National Provider Identifier) 1578658373 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where North Mississippi Dental Specialists, Pllc's facilities are geographically located?
The facilities of North Mississippi Dental Specialists, Pllc are physically situated at the following location: 2925 Nail Rd E Ste 103, Southaven, MS, 386726715.
What is North Mississippi Dental Specialists, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The North Mississippi Dental Specialists, Pllc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the North Mississippi Dental Specialists, Pllc receive its 1578658373 assignment from the Centers for Medicare & Medicaid Services?
The North Mississippi Dental Specialists, Pllc was assigned its 1578658373 by the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information pertaining to North Mississippi Dental Specialists, Pllc most recently updated or revised?
The details related to North Mississippi Dental Specialists, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-23.
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