NPIMap

Organization Active NPI

Dental Professionals of Mississippi, P.C.

Doing business as Taylorsville Dental Care

  • Dentist
  • Taylorsville, MS
National Provider Identifier
1205011608
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
MS133268 Issued in MS
Legal business name
DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.
Doing business as
Taylorsville Dental Care
Practice address
411 Willis St
Taylorsville, MS 39168
Phone
(601) 785-4770
Fax
(601) 785-4831
NPI assigned
Jan 3, 2008
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X MS133268 MS Primary

Addresses

Primary practice location

411 Willis St
Taylorsville, MS 39168

Mailing address

411 Willis Street
Taylorsville, MS 39168-0559
Phone (601) 785-4770

Other names 1

  • Taylorsville Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Mississippi PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1205011608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WILLIS STREET",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391680559",
            "telephone_number": "601-785-4770",
            "fax_number": "601-785-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WILLIS ST",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "39168",
            "telephone_number": "601-785-4770",
            "fax_number": "601-785-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF MISSISSIPPI, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8426"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "MS133268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylorsville Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.