NPIMap

Organization Active NPI

M&T Family Dentistry

  • Dental Clinic/Center
  • Pascagoula, MS
National Provider Identifier
1124552799
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3773-14 Issued in MS
Legal business name
M&T FAMILY DENTISTRY
Practice address
2905 14TH St
Pascagoula, MS 39567-5208
Phone
(228) 769-8521
Fax
(228) 762-2820
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Rosemary Duc Tran, D.D.SNPI 1356788251
Title
Part Owner
Phone
(504) 388-3675

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
Dental Clinic/Center 261QD0000X 3773-14 MS Primary

Addresses

Primary practice location

2905 14TH St
Pascagoula, MS 39567-5208

Mailing address

2905 14TH St
Pascagoula, MS 39567-5208
Phone (228) 769-8521

National Provider Directory

National Provider Directory

Locations

2905 14th St
Pascagoula, MS 39567
Phone (228) 769-8521

Practitioners & affiliated clinicians

Practitioners 3

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": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1124552799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 14TH ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675208",
            "telephone_number": "228-769-8521",
            "fax_number": "228-762-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 14TH ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675208",
            "telephone_number": "228-769-8521",
            "fax_number": "228-762-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&T FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "504-388-3675",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "3773-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.