Active NPI
Hillcrest Dental Group, P.a.
- General Practice Dentistry
- Gulfport, MS
National Provider Identifier
1104957422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 202283
- Legal business name
- HILLCREST DENTAL GROUP, P.A.
- Practice address
- 382 Courthouse Rd Ste B
Gulfport, MS 39507-1864 - Phone
- (228) 604-2445
- Fax
- (228) 604-2525
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theresa G Jones, D.M.D.
- Title
- Dentist / President
- Phone
- (228) 604-2445
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 202283 | MS | Primary |
Addresses
Primary practice location
382 Courthouse Rd Ste B
Gulfport, MS 39507-1864
Mailing address
382 Courthouse Rd Ste B
Gulfport, MS 39507-1864
Phone (228) 604-2445
Other names 1
- Theresa G. Jones, D.M.D., P.A.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Gulfport, MS
- NPI 1649488321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521072000000",
"number": "1104957422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 COURTHOUSE RD STE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071864",
"telephone_number": "228-604-2445",
"fax_number": "228-604-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 COURTHOUSE RD STE B",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071864",
"telephone_number": "228-604-2445",
"fax_number": "228-604-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLCREST DENTAL GROUP, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2018-03-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DENTIST / PRESIDENT",
"authorized_official_telephone_number": "228-604-2445",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "202283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Theresa G. Jones, D.M.D., P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.