Active NPI
Craddock and Hyde Dental PLLC
- General Practice Dentistry
- Richland, MS
National Provider Identifier
1366718470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3326-05
- Legal business name
- CRADDOCK AND HYDE DENTAL PLLC
- Practice address
- 125 W Harper St
Richland, MS 39218-4406 - Phone
- (601) 932-5100
- NPI assigned
- Mar 23, 2012
- Last updated
- Mar 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hilary Craddock
- Title
- Owner
- Phone
- (601) 932-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3389 | MS | |
| General Practice Dentistry | 1223G0001X | 3326-05 | MS | Primary |
Addresses
Primary practice location
125 W Harper St
Richland, MS 39218-4406
Mailing address
125 W Harper St
Richland, MS 39218-4406
National Provider Directory
National Provider DirectoryLocations
125 W Harper St
Richland, MS 39218
Phone (601) 932-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1366718470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W HARPER ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392184406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W HARPER ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392184406",
"telephone_number": "601-932-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRADDOCK AND HYDE DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-23",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "CRADDOCK",
"authorized_official_first_name": "HILARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-932-5100"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3389",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3326-05",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, MS
- Jason Michael Butler, NP
- Wilford Hale Byrd, MD
- Lesley Ann Cameron, PHARMD
- Kenneth W Chapman, D.M.D.
- Countryview Partners, LLC (Plain View Senior Living)
- Craddock and Malley Dental PLLC (Richland Dental)
- Hillary Craddock, DMD
- Crossgates Hma Medical Group, LLC (Medical Associates of Richland)
- Crossgates Hma Medical Group, LLC (Medical Associates of Richland)
- Jeffrey Harrel Cumberland, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.