Uptown Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

331104 Issued in MS

Legal business name

UPTOWN DENTAL, LLC

Practice address

141 Township Ave
Suite 111
Ridgeland, MS 39157-8694

Phone

(769) 257-0399

NPI assigned

Jan 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Crews, DMDNPI 1033328414

Title

Dentist/Owner

Phone

(769) 257-0399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle B Crews, DMD

  • Dentist
  • Ridgeland, MS
  • NPI 1033328414
  NPD Authorized official

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1215326012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TOWNSHIP AVE",
            "address_2": "SUITE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TOWNSHIP AVE",
            "address_2": "SUITE 111",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578694",
            "telephone_number": "769-257-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "769-257-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "331104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Strickland Ulmer, PH.D.
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• Laurie Elizabeth Upchurch, MA
• Utilization Management
• Jessica Weiss Utley, PHD
• Georgia Van Leijsen
• Morgan Elizabeth Van Nortwick, COTA
• Nhan Van, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.