Organization Active NPI

Batesville Premier Dental PLLC

  • Dental Clinic/Center
  • Batesville, MS
National Provider Identifier
1033095054
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BATESVILLE PREMIER DENTAL PLLC
Practice address
160 Cracker Barrell Dr
Batesville, MS 38606-3031
Phone
(662) 563-7821
Fax
(662) 578-0406
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen E Sullivan, DDSNPI 1083714125
Title
Co-Owner
Phone
(662) 563-7821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

160 Cracker Barrell Dr
Batesville, MS 38606-3031

Mailing address

PO Box 1200
Batesville, MS 38606-1200
Phone (662) 563-7821

National Provider Directory

National Provider Directory

Locations

160 Cracker Barrell Dr
Batesville, MS 38606
Phone (662) 563-7821

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1033095054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386061200",
            "telephone_number": "662-563-7821",
            "fax_number": "662-578-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CRACKER BARRELL DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063031",
            "telephone_number": "662-563-7821",
            "fax_number": "662-578-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATESVILLE PREMIER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "662-563-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.