Hometown Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HOMETOWN FAMILY DENTAL LLC

Doing business as

Hometown Family Dental

Practice address

1024 Spring St
Wesson, MS 39191

Phone

(601) 714-2278

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By 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. Marissa W Smith, DMDNPI 1740916568

Title

Owner/Dentist

Phone

(601) 748-6699

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Dental Doing business as

Locations

Practitioners 1

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.

• Marissa W Smith, DMD

  • General Practice Dentistry
  • Wesson, MS
  • NPI 1740916568
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1619694387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "WESSON",
            "state": "MS",
            "postal_code": "391910873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 SPRING ST",
            "city": "WESSON",
            "state": "MS",
            "postal_code": "39191",
            "telephone_number": "601-714-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-748-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theavis Cooper Jr., ATC
• Copiah County Medical Center (Wesson Clinic)
• Copiah Lincoln Community College (Colin Sports Medicine)
• Amanda Courtney, LSW MSW CMHT
• Free Your Mind Psychiatric Services, LLC
• Icare Services, LLC
• Lyndsay King, OTR/L
• Steven Barry Liverman, MD
• Gregory Matthew McClain, MS, ATC, LAT
• Susan Renee Moore, ATC, MS, LAT

• Dental Clinic/Center in Wesson, MS
• Providers in Wesson, 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 Oct 24, 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.