NPIMap

Organization Active NPI

Milling Pediatric Dentistry PLLC

  • Dental Clinic/Center
  • Jackson, MS
National Provider Identifier
1346992815
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MILLING PEDIATRIC DENTISTRY PLLC
Doing business as
Milling Pediatric Dentistry PLLC
Practice address
1855 Crane Ridge Dr Ste B
Jackson, MS 39216-4944
Phone
(601) 982-8585
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Stephanie Bell
Title
Om
Phone
(601) 982-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1855 Crane Ridge Dr Ste B
Jackson, MS 39216-4944

Mailing address

1855 Crane Ridge Dr Ste B
Jackson, MS 39216-4944
Phone (601) 982-8585

Other identifiers 1

IdentifierTypeStateIssuer
04122042MedicaidMS

Other names 1

  • Milling Pediatric Dentistry PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smile@millingpediatricdentistry.com

National Provider Directory

National Provider Directory

Locations

1855 Crane Ridge Dr
Ste B
Jackson, MS 39216
Phone (601) 982-8585

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1346992815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "601-982-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 CRANE RIDGE DR STE B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164944",
            "telephone_number": "601-982-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLING PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OM",
        "authorized_official_telephone_number": "601-982-8585"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04122042",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smile@millingpediatricdentistry.com",
            "affiliation": "N",
            "address_1": "1855 Crane Ridge Dr Ste B",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392164944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Milling Pediatric Dentistry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.