Organization Active NPI

McLaurin Dental Clinic, P.a.

  • General Practice Dentistry
  • Bay Springs, MS
National Provider Identifier
1598059073
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2880-95 Issued in MS
Legal business name
MCLAURIN DENTAL CLINIC, P.A.
Practice address
10 S Sixth St
Bay Springs, MS 39422-9055
Phone
(601) 764-4111
Fax
(601) 764-3443
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Dr. Samuel H McLaurinNPI 1265562268
Title
Owner / Dentist
Phone
(601) 764-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2880-95 MS Primary

Addresses

Primary practice location

10 S Sixth St
Bay Springs, MS 39422-9055

Mailing address

P.O. Box 92
Bay Springs, MS 39422-0092
Phone (601) 764-4111

National Provider Directory

National Provider Directory

Locations

12 S Sixth St
Bay Springs, MS 39422
Phone (601) 764-4111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1598059073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 92",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394220092",
            "telephone_number": "601-764-4111",
            "fax_number": "601-764-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S SIXTH ST",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394229055",
            "telephone_number": "601-764-4111",
            "fax_number": "601-764-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAURIN DENTAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MCLAURIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "601-764-4111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2880-95",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.