Sherry C Pippen, DMD
Individual provider Active NPI Dentist · Monticello, MS
NPI 1649201591 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1649201591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3267-03 (MS)
- Practice address
- 825 Highway 27
823 Fe Sellers Hwy
Monticello, MS 39654-9109 - Phone
- (601) 587-7737
- Fax
- (601) 587-9457
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3267-03 | MS | MD | Dentist |
| 3268-03 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherry Chance Pippen, DMD, PA | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3267-03 | MS | Yes |
| General Practice Dentistry | 1223G0001X | 3268-03 | MS |
Addresses
Primary practice location
825 Highway 27
823 Fe Sellers Hwy
Monticello, MS 39654-9109
Mailing address
PO Box 2014
823 Fe Sellers Hwy
Monticello, MS 39654-2014
Phone (601) 587-7737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00623210 | Medicaid | MS |
Other providers in Monticello, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.