Nash Dental Group-Pearl

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NASH DENTAL GROUP-PEARL

Doing business as

Mint Dental-Pearl

Practice address

190 Riverwind E. Drive
Suite 201
Pearl, MS 39208

Phone

(601) 882-5600

NPI assigned

Nov 7, 2024

Organization subpart

Yes

Parent organization

NASH DENTAL GROUP-PEARLAs reported in NPPES

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

Authorized official

Name

Kenneth David Nash, DDS

Title

Owner/Member

Phone

(601) 618-9180

Specialties & licenses 1

Addresses

Other names 1

• Mint Dental-Pearl Doing business as

Part of

Nash Dental Group-Pearl

Locations

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

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1497578306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RIVERWIND E. DRIVE",
            "address_2": "SUITE 201",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-882-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RIVERWIND E. DRIVE",
            "address_2": "SUITE 201",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "39208",
            "telephone_number": "601-882-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH DENTAL GROUP-PEARL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASH DENTAL GROUP-PEARL",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "601-618-9180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental-Pearl",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morris Medical Services PA
• Brianna Danielle Morris
• Jacob Brannon Morris, MD
• Deisha Muirhead
• Carolyn Myles
• Kathryn Butler Navarre, DMD
• Kimberly S Nelson, DPT
• New Vision Pharmacy Pearl LLC
• New Vision Pharmacy Pearl LLC
• New Vision Pharmacy Pearl LLC

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, 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 Nov 7, 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.