Organization Active NPI

Quintin Todd Julius, PLLC

Doing business as Siwell Dental

  • General Practice Dentistry
  • Byram, MS
National Provider Identifier
1639692908
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3445 Issued in MS
Legal business name
QUINTIN TODD JULIUS, PLLC
Doing business as
Siwell Dental
Practice address
6745 S. Siwell Rd.
Suite 210
Byram, MS 39272
Phone
(601) 371-8634
Fax
(601) 371-8724
NPI assigned
Jul 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Quintin Todd Julius, DDSNPI 1235338971
Title
President
Phone
(601) 371-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3445 MS Primary

Addresses

Primary practice location

6745 S. Siwell Rd.
Suite 210
Byram, MS 39272

Mailing address

6745 S Siwell Rd Ste 210
Byram, MS 39272-8746
Phone (601) 371-8634

Other identifiers 1

IdentifierTypeStateIssuer
0178507MedicaidMS

Other names 1

  • Siwell Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6745 S Siwell Rd
Ste 210
Byram, MS 39272
Phone (601) 371-8634

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639692908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 S SIWELL RD STE 210",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728746",
            "telephone_number": "601-371-8634",
            "fax_number": "601-371-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 S. SIWELL RD.",
            "address_2": "SUITE 210",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "39272",
            "telephone_number": "601-371-8634",
            "fax_number": "601-371-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTIN TODD JULIUS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JULIUS",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-371-8634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178507",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siwell Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Siwell Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byram, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.