NPIMap

Organization Active NPI

Neely Dental Clinic, P.C.

  • Dentist
  • Magee, MS
National Provider Identifier
1366693871
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEELY DENTAL CLINIC, P.C.
Practice address
600 4TH St SW
Magee, MS 39111-3929
Phone
(601) 849-3636
Fax
(601) 849-2644
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dr. Angela Neely Overstreet, DMDNPI 1336292473
Title
Dentist
Phone
(601) 849-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

600 4TH St SW
Magee, MS 39111-3929

Mailing address

600 4TH St SW
Magee, MS 39111-3929
Phone (601) 849-3636

National Provider Directory

National Provider Directory

Locations

600 4th St SW
Magee, MS 39111
Phone (601) 849-3636

Practitioners & affiliated clinicians

Practitioners 1

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1366693871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113929",
            "telephone_number": "601-849-3636",
            "fax_number": "601-849-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391113929",
            "telephone_number": "601-849-3636",
            "fax_number": "601-849-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELY DENTAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NEELY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-849-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.