FDC of Laurel LLC
Organization Active NPI General Practice Dentistry · Laurel, MS
NPI 1124599105 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1124599105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- FDC OF LAUREL LLC
- Practice address
- 1532 W 15TH St
Laurel, MS 39440-2102 - Phone
- (601) 428-0082
- NPI assigned
- Dec 17, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Shelley S. Taylor, DMD
- Title
- Owner/Dentist
- Phone
- (601) 428-0082
Practitioners 5
-
John H Barrow III, D.D.S.
-
Kent B Leggett, D.M.D.
-
Mary Caskey Ousley, DMD
-
David L. Rice III, D.M.D.
-
Shelley Segrest Taylor, D.M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1532 W 15TH St
Laurel, MS 39440-2102
Mailing address
PO Box 6505
Laurel, MS 39441-6505
Phone (601) 428-0082
Other names
- Family Dental Center of Laurel
Other providers in Laurel, MS
- Family Health Center, Inc
- Family Health Center, Inc
- Family Health Center, Inc.
- Family Health Center, Inc.
- Family Health Center, Inc.
- First Intermed Corporation
- James Keith Fisher
- Leslie Ann Fisher
- Sonja Flournoy
- Debbie S Flowers
All providers in Laurel, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.