Carlton Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3503-09 Issued in MS

Legal business name

CARLTON FAMILY DENTISTRY

Practice address

323 Highland Blvd
Natchez, MS 39120-4635

Phone

(601) 653-0003

NPI assigned

Feb 10, 2011

Last updated

Nov 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Ballew Carlton, D.M.D.

Title

General Dentist

Phone

(601) 653-0003

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1194021022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204635",
            "telephone_number": "601-653-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204635",
            "telephone_number": "601-653-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BALLEW",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "601-653-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3503-09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06250340",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Natchez, MS
• Providers in Natchez, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.