Pediatric Dentistry of Corinth

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2264-86 Issued in MS

Legal business name

PEDIATRIC DENTISTRY OF CORINTH

Practice address

1500 N Harper Rd #5
Pediatric Dentistry of Corinth
Corinth, MS 38834

Phone

(662) 872-3031

Fax

(662) 510-0190

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

David Kennon Curtis Sr., D.M.D.

Title

President

Phone

(662) 327-0995

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

David K Curtis DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David K Curtis DMD PA

  • Pediatric Dentistry
  • Corinth, MS
  • NPI 1306041322
  NPD tax ID

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1164938650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N HARPER RD #5",
            "address_2": "PEDIATRIC DENTISTRY OF CORINTH",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-872-3031",
            "fax_number": "662-510-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N HARPER RD #5",
            "address_2": "PEDIATRIC DENTISTRY OF CORINTH",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-872-3031",
            "fax_number": "662-510-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF CORINTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-327-0995",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "2264-86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05705209",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Jitendra Patel, DO
• Pinak Suresh Patel, DO
• Ida Pat Patterson, PCMHT
• Brianna J. Payne
• Cynthia Pearson, FNP
• Michael Lynn Peery, M.D.
• Judith Perrigo, MS
• Tabitha Perrigo, APMHMP
• Robert Houston Perry, D.D.S.
• Kenya Peterson, M.ED., LPC

• Pediatric Dentistry in Corinth, MS
• Providers in Corinth, MS by specialty
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.