Mississippi Dental Center of Brandon, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MISSISSIPPI DENTAL CENTER OF BRANDON, LLC

Practice address

365 Crossgates Blvd
Brandon, MS 39042-2602

Phone

(601) 825-2411

NPI assigned

Jul 1, 2022

Last updated

Jul 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chandler Pleasant, DMDNPI 1992047583

Title

Owner/Dentist

Phone

(601) 825-2411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Chandler Pleasant, D.M.D.

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1992047583
  NPD Authorized official

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1104559749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422602",
            "telephone_number": "601-825-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CROSSGATES BLVD",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422602",
            "telephone_number": "601-825-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI DENTAL CENTER OF BRANDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-825-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Miller, PMHNP-BC
• Trudy Blaylock Miller
• Shirley Minor, SLP
• Mississippi Commcare Corporation a Non Profit Corporation (Brandon Community Care Center)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05865)
• Mississippi Em I Medical Services
• Mississippi Emergency Physician Services LLC
• Mississippi Emergency Physician Services LLC
• Mississippi First Assist, Limited Liability Company
• Mississippi Hma Hospitalists, LLC (Crossgates River Oaks Hospital)

• Dental Clinic/Center in Brandon, MS
• Providers in Brandon, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.