Organization Active NPI

LD-Starkville

Doing business as Starkville Dental

  • General Practice Dentistry
  • Starkville, MS
National Provider Identifier
1043068125
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LD-STARKVILLE
Doing business as
Starkville Dental
Practice address
407 University Dr
Starkville, MS 39759-2915
Phone
(662) 323-2683
Fax
(662) 323-1144
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mrs. Lizz S Daigneault
Title
Admin Director
Phone
(256) 783-9468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

407 University Dr
Starkville, MS 39759-2915

Mailing address

407 University Dr
Starkville, MS 39759-2915
Phone (256) 783-9468

Other names 1

  • Starkville Dental Doing business as

National Provider Directory

National Provider Directory

Locations

407 University Dr
Starkville, MS 39759
Phone (662) 323-2683

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1043068125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 UNIVERSITY DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592915",
            "telephone_number": "256-783-9468",
            "fax_number": "662-323-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 UNIVERSITY DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592915",
            "telephone_number": "662-323-2683",
            "fax_number": "662-323-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD-STARKVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LIZZ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "256-783-9468",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starkville Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starkville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.