Shamina Khanum Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHAMINA KHANUM FAMILY DENTISTRY PLLC

Practice address

284 Dewey St
Lucedale, MS 39452-6547

Phone

(732) 675-0620

NPI assigned

Sep 10, 2026

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shamina Khanum, BDS

Title

Dentist

Phone

(732) 675-0720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1326958307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 DEWEY ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526547",
            "telephone_number": "732-675-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 DEWEY ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526547",
            "telephone_number": "732-675-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMINA KHANUM FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "KHANUM",
        "authorized_official_first_name": "SHAMINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-675-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Schultz, D.C.
• Derrick K Scott, CRNA
• James Scott II, LPTA
• Rhett Scott, CRNA
• Seth A. Scott, M.D.
• Pauline D Shea
• Brianna Smith, RPH
• Deborah B Smith, MA
• Jessica Marie Smith, MSN, FNP
• Jordan Kennedy Smith

• General Practice Dentistry in Lucedale, MS
• Providers in Lucedale, 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 Sep 10, 2026; 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.