Richard B Akin, D.M.D.,P.A.
Individual provider Active NPI General Practice Dentistry · Hazlehurst, MS
NPI 1487750832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487750832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1822-79 (MS)
- Practice address
- 331 W Gallatin St
Hazlehurst, MS 39083-3027 - Phone
- (601) 894-1634
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1822-79 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Campbell, DMD PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1822-79 | MS | Yes |
Addresses
Primary practice location
331 W Gallatin St
Hazlehurst, MS 39083-3027
Mailing address
331 W Gallatin St
Hazlehurst, MS 39083-3027
Phone (601) 894-1634
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660340 | Medicaid | MS | |
| 00660340 | Other | MS | BLUE CROSS BLUE SHIELD |
| 704981 | Other | MS | UNITED CONCORDIA |
Other providers in Hazlehurst, MS
- 2083 Therapy, LLC
- A Work of Art Home Care, LLC
- Aging Gracefully Community Center
- Amy Keywood
- Teandra Averett
- Jacqueline Ball
- Tyler Barnes
- Jonathan Garrett Bass
All providers in Hazlehurst, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.