NPIMap

Organization Active NPI

Waveland Dental Centerpllc

  • Dentist
  • Waveland, MS
National Provider Identifier
1336346113
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WAVELAND DENTAL CENTERPLLC
Practice address
110 Auderer Blvd
Waveland, MS 39576-2432
Phone
(228) 270-0044
Fax
(228) 270-0047
NPI assigned
Jun 27, 2007
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Dr. Dana Hal Jones, D.M.D.
Title
Owner Dentist
Phone
(228) 270-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

110 Auderer Blvd
Waveland, MS 39576-2432

Mailing address

110 Auderer Blvd
Waveland, MS 39576-2432
Phone (228) 270-0044

National Provider Directory

National Provider Directory
Tax ID family
Waveland Dental Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1336346113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 AUDERER BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395762432",
            "telephone_number": "228-270-0044",
            "fax_number": "228-270-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AUDERER BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395762432",
            "telephone_number": "228-270-0044",
            "fax_number": "228-270-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVELAND DENTAL CENTERPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "HAL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "228-270-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.