Ware Family Dental Clinic LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

336906 Issued in MS

Legal business name

WARE FAMILY DENTAL CLINIC LLC

Practice address

2376 Sunset Dr
Grenada, MS 38901-2827

Phone

(662) 226-1865

Fax

(662) 226-1845

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Latonya Ware, D.D.S.

Title

Owner/Operator

Phone

(662) 226-1865

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1568626489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012827",
            "telephone_number": "662-226-1865",
            "fax_number": "662-226-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389012827",
            "telephone_number": "662-226-1865",
            "fax_number": "662-226-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE FAMILY DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "662-226-1865",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MS",
            "license": "336906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09304801",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08557260",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walls Vision Center LLC
• Christopher Thomas Walls, O.D.
• Latonya Ware, D.D.S.
• Meghan Welch, PMHNP-BC
• Della Lea Welsh
• Lindsay E Westmoreland, PHARMD
• Kevin M Whalley, MD

• Dental Clinic/Center in Grenada, MS
• Providers in Grenada, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.