Organization Active NPI

Robert L. Duncan, DMD, PA

  • General Practice Dentistry
  • Greenville, MS
National Provider Identifier
1063046936
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT L. DUNCAN, DMD, PA
Practice address
835 S Main St
Greenville, MS 38701-5871
Phone
(662) 335-9121
Fax
(662) 332-2511
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Robert Lee Duncan, DMDNPI 1518185677
Title
President/Owner
Phone
(662) 820-4401

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

835 S Main St
Greenville, MS 38701-5871

Mailing address

835 S Main St
Greenville, MS 38701-5871
Phone (662) 335-9121

Other names 1

  • Duncan Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

835 S Main St
Greenville, MS 38701
Phone (662) 335-9121

Practitioners & affiliated clinicians

Practitioners 2

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": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1063046936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-335-9121",
            "fax_number": "662-332-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387015871",
            "telephone_number": "662-335-9121",
            "fax_number": "662-332-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. DUNCAN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "662-820-4401",
        "authorized_official_credential": "DMD"
    },
    "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": "Duncan Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.