Key Dental Group of Pearl LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEY DENTAL GROUP OF PEARL LLC

Practice address

181 Doctors Dr
Pearl, MS 39208-4042

Phone

(601) 487-7337

Fax

(601) 487-7343

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Joseph W Collins III, DMD

Title

Owner

Phone

(601) 856-5227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1629765821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 DOCTORS DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084042",
            "telephone_number": "601-487-7337",
            "fax_number": "601-487-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 DOCTORS DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392084042",
            "telephone_number": "601-487-7337",
            "fax_number": "601-487-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY DENTAL GROUP OF PEARL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-856-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce M Johnson, MN, RN, CFNP
• Kurt Darwin Johnson, MD
• Teleshia Danielle Johnson, DMD
• Joseph Joseph Joseph, O.D.
• Shireisla Denae Kelly, NP
• Kids First Pediatric & Adult Medicine, LLC
• Olivia Kincaid
• Catrina D Kitchens
• William Frederick Krooss, MD
• Mitchell Ray Langston, R.PH.

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, 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 Apr 19, 2023; 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.