Fred H. Drews, III

Primary specialty

DentistTaxonomy code 122300000X

License

1453-71 Issued in MS

Practice address

313 S 40TH Ave
Hattiesburg, MS 39402-1734

Phone

(601) 264-5100

Fax

(601) 264-6669

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 1St Dental, LLC

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1740642834
  NPD (past)
• First Dental, PA

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1316035207
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SOUTH 40TH AVENUE",
            "address_2": "PO BOX 17798",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047798",
            "telephone_number": "601-264-5100",
            "fax_number": "601-264-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 40TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021734",
            "telephone_number": "601-264-5100",
            "fax_number": "601-264-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS,",
        "first_name": "FRED",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "1453-71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Massey Draughn, LCSW
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• Drayer Physical Therapy Mississippi LLC
• Dream Hair Care
• Drew Middleton, DMD
• Mary C Dryden, LPC, LMFT
• Stacy M Dubois
• Deborah Ducksworth-Williams
• Monet Kalisha Ducksworth, DMD
• Kenneth E. Duff Jr., M.D.

• Dentist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.