Germantown Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GERMANTOWN FAMILY DENTAL

Practice address

102 Dees Drive
Suite M
Madison, MS 39110

Phone

(601) 381-8200

Fax

(601) 381-8255

NPI assigned

Sep 26, 2022

Last updated

Jul 24, 2025By 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

Mrs. Casey M Castle

Title

Director of Payor Contracts

Phone

(912) 732-1504

Specialties & licenses 1

Addresses

Locations

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.

• Lynn Kim Nguyen, DMD

  • General Practice Dentistry
  • Gluckstadt, MS
  • NPI 1073181657
  NPD
• Jamie Taylor Reed

  • Dentist
  • Gluckstadt, MS
  • NPI 1497687677
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1659095495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DEES DRIVE",
            "address_2": "SUITE M",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-381-8200",
            "fax_number": "601-381-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DEES DRIVE",
            "address_2": "SUITE M",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "39110",
            "telephone_number": "601-381-8200",
            "fax_number": "601-381-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-07-24",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTS",
        "authorized_official_telephone_number": "912-732-1504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Kaye Garrett, OT
• Gastrointestinal Associates Endoscopy Center, LLC
• Gastrointestinal Associates, P.a.
• Genesis Homecare Agency LLC
• Kerstin Gerhold, MD
• Mitra Ghafarianpoor, APRN
• Jeremy Gibson
• Latasha D Glasper
• Gluckstadt Family Dentistry, PA
• Gluckstadt Special Care Clinic

• Dental Clinic/Center in Madison, MS
• Providers in Madison, 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 Jul 24, 2025; 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.