First Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1453-71 Issued in MS

Legal business name

FIRST DENTAL, PA

Practice address

313 S 40TH Ave
Hattiesburg, MS 39402-1734

Phone

(601) 264-5100

Fax

(601) 264-6669

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Robin A Wilson

Title

Office Manager

Phone

(601) 264-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Fred H. Drews, III

  • Dentist
  • Hattiesburg, MS
  • NPI 1174680516
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316035207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17798",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047798",
            "telephone_number": "601-264-5100",
            "fax_number": "601-264-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 40TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021734",
            "telephone_number": "601-264-5100",
            "fax_number": "601-264-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-264-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1453-71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Sharda Fields
• Brandon Scott Figueiredo, CRNA
• Charles Samuel Fillingane, DO
• Sean Douglas Fink, MD
• Sydney Simmons Finley, MS, RD, LD
• Sarah Fischer
• Jason Fisher, D.O.
• John Carey Fitzpatrick, MD
• John M Fitzpatrick, MD
• Madeline Campbell Fitzpatrick, MD

• 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 Aug 22, 2020; 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.