Laurel Oaks Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

171176 Issued in MS

Legal business name

LAUREL OAKS DENTAL CARE

Practice address

1434 Parker Drive
Laurel, MS 39440

Phone

(601) 649-3335

Fax

(601) 426-6318

NPI assigned

Jan 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fred I Walters, DDSNPI 1932355534

Title

Dentist

Phone

(601) 649-3335

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Fred Irvin Walters Jr., DDS

  • General Practice Dentistry
  • Laurel, MS
  • NPI 1932355534
  NPD (past) Authorized official
• Robert Stephen Ellis, D.D.S.

  • General Practice Dentistry
  • Laurel, MS
  • NPI 1124274394
  NPD (past)
• Dorothy S Nassar, DMD

  • Dentist
  • Laurel, MS
  • NPI 1134640683
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538218664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 PARKER DRIVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-649-3335",
            "fax_number": "601-426-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 PARKER DRIVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-649-3335",
            "fax_number": "601-426-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL OAKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-649-3335",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "171176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Cancer Care, LLC
• Laurel Clinic for Women
• Laurel Dental Properties (Pediatric Dental Group of Laurel)
• Laurel Ear, Nose, and Throat Surgical Clinic
• Laurel Eye Clinic, PC
• Laurel Obstetrics and Gynecology PA
• Laurel Orthodontic Associates LLC (Smile Country Orthodontics)
• Laurel Pain Clinic PA
• Laurel Pharmacy, LLC
• Laurel Plastic Surgery LLC

• General Practice Dentistry in Laurel, MS
• Providers in Laurel, 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 Jul 21, 2022; 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.