North Ms Community Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2650-91 Issued in MS

Legal business name

NORTH MS COMMUNITY DENTAL CLINIC

Practice address

560 Highway 6 E
East Oaks Shopping Center
Batesville, MS 38606-3002

Phone

(662) 561-1045

Fax

(662) 561-1181

NPI assigned

Jul 22, 2009

Last updated

Jul 22, 2009By 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

Dr. William T. Neely III, DMDNPI 1144230327

Title

Dentist/Owner

Phone

(662) 561-1045

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• William Thomas Neely III, DMD

  • General Practice Dentistry
  • Batesville, MS
  • NPI 1144230327
  NPD (past) Authorized official
• Clara Tomlinson

  • General Practice Dentistry
  • Batesville, MS
  • NPI 1053536045
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1598995755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13409",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392363409",
            "telephone_number": "662-561-1045",
            "fax_number": "662-561-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 HIGHWAY 6 E",
            "address_2": "EAST OAKS SHOPPING CENTER",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063002",
            "telephone_number": "662-561-1045",
            "fax_number": "662-561-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MS COMMUNITY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "662-561-1045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2650-91",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04581039",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660095",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Foot Specialists PC
• North Mississippi Hand Therapy (Batesville Hand Clinic)
• North Mississippi Spine Center
• North Mississippi Spine Center
• North Mississippi Spine Center, Inc (North Mississippi Spine Center)
• Northwest Ms Speech & Hearing, LLC
• Kennedy Leigh O'Brien, DMD
• April Sarafrina O'Neal
• Rowgene Orr
• Oxford Family Dental PLLC

• General Practice Dentistry in Batesville, MS
• Providers in Batesville, 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 22, 2009; 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.