Erin Green DDS PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ERIN GREEN DDS PC

Doing business as

Grants Ferry Family Dentistry

Practice address

1075 Lake Village Cir
Brandon, MS 39047-6743

Phone

(601) 992-1605

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Erin Green, DDSNPI 1699113365

Title

Owner

Phone

(601) 850-2145

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grants Ferry Family Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 4

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

• Erin Russell Green, DDS

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1699113365
  NPD Authorized official
• Mary Sobiesk, DMD

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1982599056
  NPD
• Justin Lowrey Dyre, D.M.D.

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1588926570
  NPD (past)
• Emily D Wilhite, DDS

  • Dentist
  • Brandon, MS
  • NPI 1669810040
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1609492750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-850-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-992-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN GREEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-850-2145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699113365",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669810040",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@grantsferryfamilydentistry.com",
            "affiliation": "N",
            "address_1": "1075 Lake Village Cir",
            "city": "Brandon",
            "state": "MS",
            "country_code": "US",
            "postal_code": "390476743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grants Ferry Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juarez Brown Emerson, REGISTERED NURSE
• Encounter Community Counseling Center, LLC
• Enduracare Acute Care Services LLC (Enduracare Acute Care Services Brandon)
• Erica Sutton,RN
• Kayla Anthony Erickson, LPC
• Brian K Ervin
• Baron C Evans
• Picton Timothy Evans, PHARMD
• Excel Physical Therapy and Wellness Center, PLLC
• Mary E Fair

• Dentist in Brandon, MS
• Providers in Brandon, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.