Humphreys Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3329-05 Issued in MS

Legal business name

HUMPHREYS FAMILY DENTAL, LLC

Practice address

16 Office Park Dr
Suite 1
Hattiesburg, MS 39402-6020

Phone

(601) 450-3368

Fax

(601) 450-3370

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael C. Humphreys, D.M.D.

Title

Owner/Dentist

Phone

(601) 450-3368

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1265615181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OFFICE PARK DR",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026020",
            "telephone_number": "601-450-3368",
            "fax_number": "601-450-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OFFICE PARK DR",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026020",
            "telephone_number": "601-450-3368",
            "fax_number": "601-450-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREYS FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-450-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3329-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08902788",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne A Hughes, MD
• Rebecca B Hulitt, RPH
• Catherine Charel Hulsey, M.D.
• Humble Heart Home Care, LLC
• Brian E Humpherys, MD
• April Hunt, FNP-C
• Bruce Edward Hunt
• Brinda Hunter
• Jayson Jerome Hunter
• Wanda Felecia Husband

• General Practice Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, 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 Dec 13, 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.