Mint Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MINT DENTAL LLC

Doing business as

Mint Dental

Practice address

190 Riverwind Dr Ste 201
Pearl, MS 39208-3387

Phone

(601) 882-5600

Fax

(601) 882-5601

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette Liles, DMDNPI 1487035366

Title

Owner/Operating Dentist

Phone

(601) 882-5600

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoinette Liles, DMD

  • General Practice Dentistry
  • Pearl, MS
  • NPI 1487035366
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1427641950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERWIND DR STE 201",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083387",
            "telephone_number": "601-882-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RIVERWIND DR STE 201",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083387",
            "telephone_number": "601-882-5600",
            "fax_number": "601-882-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER/OPERATING DENTIST",
        "authorized_official_telephone_number": "601-882-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medscreens, Inc.
• Teresa M. Mendenhall, M.D.
• Midtown Investments LLC
• Miles Cororation
• Chris Milhas
• Miss Shay'S Guardian Angels, LLC
• Mississippi Eyecare Associates of Pearl, PLLC
• Mississippi Family Doctors
• Mississippi State Department of Health
• Mississippi State Department of Health

• Dental Clinic/Center in Pearl, MS
• Providers in Pearl, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.