Katie Sevelda Bearden, DDS
Individual provider Active NPI General Practice Dentistry · Batesville, MS
NPI 1356440135 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356440135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2655-91 (MS)
- Practice address
- 221 Gay St
Batesville, MS 38606-1903 - Phone
- (662) 563-5040
- Fax
- (662) 563-5018
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2655-91 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2655-91 | MS | Yes |
Addresses
Primary practice location
221 Gay St
Batesville, MS 38606-1903
Mailing address
PO Box 1583
Batesville, MS 38606-4083
Phone (662) 563-5040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00060448 | Medicaid | MS |
Other providers in Batesville, MS
- Batesville Regional Medical Center, Inc.
- Batesville Regional Physicians LLC
- Batesville Smile PLLC
- Batesville Vision Clinic
- Scott Edward P Baymiller
- Benjamin T Hubbard Jr
- Barbara Bright Bennett
- Anderson Reid Bensch
- Audrey Berryhill
- Alex W Bethay
All providers in Batesville, 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 Jul 8, 2007. 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.