NPIMap

Organization Active NPI

Robert L. Donald, Jr., D.D.S. PLLC

  • General Practice Dentistry
  • Laurel, MS
National Provider Identifier
1356553770
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
79556 Issued in MS
Legal business name
ROBERT L. DONALD, JR., D.D.S. PLLC
Practice address
3228 Old Bay Springs Rd
Laurel, MS 39440-1453
Phone
(301) 649-2222
Fax
(601) 649-0255
NPI assigned
May 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert L. Donald, Jr., D.D.S.
Title
Owner
Phone
(601) 643-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 79556 MS Primary

Addresses

Primary practice location

3228 Old Bay Springs Rd
Laurel, MS 39440-1453

Mailing address

PO Box 8336
Laurel, MS 39441-8336
Phone (601) 649-2222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356553770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8336",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394418336",
            "telephone_number": "601-649-2222",
            "fax_number": "601-649-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 OLD BAY SPRINGS RD",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401453",
            "telephone_number": "301-649-2222",
            "fax_number": "601-649-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. DONALD, JR., D.D.S. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONALD, JR.",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-643-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "79556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • 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.