Organization Active NPI

Starkville Pediatric Dentistry

  • Pediatric Dentistry
  • Starkville, MS
National Provider Identifier
1407008337
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3355-05 Issued in MS
Legal business name
STARKVILLE PEDIATRIC DENTISTRY
Practice address
100 Brandon Rd
Suite W
Starkville, MS 39759-2571
Phone
(662) 323-9726
Fax
(662) 323-9727
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Tammi T Lockhart, D.M.D.NPI 1215037445
Title
Owner
Phone
(662) 323-9726

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 3355-05 MS Primary

Addresses

Primary practice location

100 Brandon Rd
Suite W
Starkville, MS 39759-2571

Mailing address

100 Brandon Rd
Suite W
Starkville, MS 39759-2571
Phone (662) 323-9726

Other names 1

  • Mary Paige Huxford DMD PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1407008337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRANDON RD",
            "address_2": "SUITE W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592571",
            "telephone_number": "662-323-9726",
            "fax_number": "662-323-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRANDON RD",
            "address_2": "SUITE W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592571",
            "telephone_number": "662-323-9726",
            "fax_number": "662-323-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-323-9726",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3355-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Paige Huxford DMD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.