Terrace Hill Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1771-77 Issued in MS

Legal business name

TERRACE HILL DENTAL CENTER PLLC

Practice address

271 Hwy 589
Purvis, MS 39475

Phone

(601) 264-5756

NPI assigned

Dec 7, 2016

Last updated

Sep 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reagan Bryant

Title

Asst. Business Manager

Phone

(601) 264-5756

Specialties & licenses 4

Addresses

Tax ID family

Terrace Hill Dental Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Terrace Hill Dental Center PLLC

  • General Practice Dentistry
  • Petal, MS
  • NPI 1194166033
  NPD tax ID

Locations

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1366986556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 HWY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "394759999",
            "telephone_number": "601-264-5756",
            "fax_number": "601-264-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 HWY 589",
            "city": "PURVIS",
            "state": "MS",
            "postal_code": "39475",
            "telephone_number": "601-264-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HILL DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_title_or_position": "ASST. BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-264-5756"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3353-05",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3417-07",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3747-14",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1771-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Starnes, DMD
• Kristi L Stewart, PCMHT
• Nanette Stewart, RN
• T&J Transport Transit LLC
• Alexis Tarbin, LMSW
• Sarah Tew, PCMHT
• Sarah M Tucker, FNP
• Monica Turk
• Kaitlyn Rousse Warren, DO
• Andrea Watson, PCCCSS

• General Practice Dentistry in Purvis, MS
• Providers in Purvis, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.