Medical Arts Dental Group of Clinton P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

228886 Issued in MS

Legal business name

MEDICAL ARTS DENTAL GROUP OF CLINTON P.A.

Practice address

315 Morrison Dr
Clinton, MS 39056-5239

Phone

(601) 925-5163

Fax

(601) 925-5184

NPI assigned

Dec 22, 2010

Organization subpart

No

Name

Dr. Robert J Neely, DMD

Title

Dentist

Phone

(601) 925-5163

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2013.

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1578867115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-925-5163",
            "fax_number": "601-925-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-925-5163",
            "fax_number": "601-925-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS DENTAL GROUP OF CLINTON P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-925-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "228886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.