Organization Active NPI

Kiln Dental Center LLC

  • Dentist
  • Kiln, MS
National Provider Identifier
1447549761
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KILN DENTAL CENTER LLC
Practice address
17094 Hwy 603
Kiln, MS 39556
Phone
(228) 255-0882
Fax
(228) 255-0846
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mrs. Theresa Lynn Strong
Title
Office Manager
Phone
(228) 255-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

17094 Hwy 603
Kiln, MS 39556

Mailing address

P.O. Box 1300
Kiln, MS 39556
Phone (228) 255-0882

National Provider Directory

National Provider Directory

Locations

17094 Highway 603
Kiln, MS 39556
Phone (228) 255-0882

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1447549761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1300",
            "city": "KILN",
            "state": "MS",
            "postal_code": "39556",
            "telephone_number": "228-255-0882",
            "fax_number": "228-255-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17094 HWY 603",
            "city": "KILN",
            "state": "MS",
            "postal_code": "39556",
            "telephone_number": "228-255-0882",
            "fax_number": "228-255-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILN DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-255-0882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiln, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.