NPIMap

Organization Active NPI

The Dental Plaza, PA

  • General Practice Dentistry
  • Biloxi, MS
National Provider Identifier
1104900851
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE DENTAL PLAZA, PA
Practice address
232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone
(228) 388-9551
Fax
(228) 388-9552
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melanie WilliamsonNPI 1881778629
Title
Secretary
Phone
(228) 388-9551

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

232A Eisenhower Dr
Biloxi, MS 39531-3601

Mailing address

232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone (228) 388-9551

National Provider Directory

National Provider Directory

Locations

232A Eisenhower Dr
Biloxi, MS 39531
Phone (228) 388-9551

Practitioners & affiliated clinicians

Practitioners 5

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104900851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232A EISENHOWER DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313601",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232A EISENHOWER DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313601",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL PLAZA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "228-388-9551"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.