Tammi Taylor Lockhart, D.M.D.
Individual provider Active NPI Pediatric Dentistry · Starkville, MS
NPI 1215037445 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1215037445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 3016-97 (MS)
- Practice address
- 100 Brandon Road
Suite W
Starkville, MS 39759 - Phone
- (662) 323-9726
- Fax
- (662) 323-9727
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3016-97 | MS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starkville Pediatric Dentistry | Pediatric Dentistry | Current |
Accepting new patients |
| Anna Jennings Nix, DMD, PLLC | Pediatric Dentistry | Past |
Accepting new patients |
| H. Carroll Walker, Jr., DDS,PA | Pediatric Dentistry | Past |
Accepting new patients |
| Children'S Dental Group PLLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
100 Brandon Rd
Ste W
Starkville, MS 39759
Phone (662) 323-9726
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3016-97 | MS | Yes |
Addresses
Primary practice location
100 Brandon Road
Suite W
Starkville, MS 39759
Mailing address
100 Brandon Road
Suite W
Starkville, MS 39759
Phone (662) 323-9726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660245 | Medicaid | MS | |
| 000660245 | Medicaid | MS |
Other providers in Starkville, MS
- Jessica Jean Lewis
- Sarah M Lewis
- Lik DME & Medical Supplies, LLC
- William R Locke
- Geoffrey R Lockhart
- James Enochs Long
- Robert Ryan Looney
- Lindie Loper
- Chester Lott
- Emily Loupe
All providers in Starkville, MS · Pediatric 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 Jul 27, 2023. 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.