Associated Dental of Ridgeland, PLLC
Organization Active NPI General Practice Dentistry · Ridgeland, MS
NPI 1265685606 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1265685606
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3214 (MS)
- Legal business name
- ASSOCIATED DENTAL OF RIDGELAND, PLLC
- Practice address
- 733 Lake Harbour Dr Ste G
Ridgeland, MS 39157-4304 - Phone
- (601) 856-4888
- Fax
- (601) 856-8077
- NPI assigned
- Oct 29, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Teresa Marie Trusty
- Title
- Office Manager
- Phone
- (601) 919-8575
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 3214 | MS | Yes |
Addresses
Primary practice location
733 Lake Harbour Dr Ste G
Ridgeland, MS 39157-4304
Mailing address
733 Lake Harbour Dr Ste G
Ridgeland, MS 39157-4304
Phone (601) 856-4888
Other providers in Ridgeland, MS
- Leah Nicole Arnold
- Ruby Joyce Aron
- Mallory L Ashe
- Laura Ashley
- Assisting Angels, LLC
- Mohammad Athar
- Chad Wesley Atkins
- Alisha Branley Atwood
- Rachel Divine Atwood
- Autumn Tamor
All providers in Ridgeland, MS · General Practice 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 Oct 29, 2008. 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.