Marvin E McQueen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2834-94 Issued in MS

Practice address

407 Cruise St
Corinth, MS 38834-4742

Phone

(662) 287-9500

Fax

(662) 287-9596

NPI assigned

May 5, 2007

Last updated

May 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Corinth Dental

  • General Practice Dentistry
  • Corinth, MS
  • NPI 1295575926
  NPD

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1447462817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CRUISE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344742",
            "telephone_number": "662-287-9500",
            "fax_number": "662-287-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CRUISE ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388344742",
            "telephone_number": "662-287-9500",
            "fax_number": "662-287-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MARVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2834-94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660170",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah M McIntosh, DO
• Robert H McKinney, MD
• Margaret McKnight
• Michael McNair, CRNA
• Samantha McNamara, LAC
• Meadow Grace Forensic and Clinical Psychology LLC
• Med Supply Center, Inc (Quipt Home Medical)
• Med Supply Plus, Inc.
• Med Supply Plus, Inc.
• Medical Plaza on Alcorn LLC

• General Practice Dentistry in Corinth, MS
• Providers in Corinth, 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 May 30, 2024; 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.