Active NPI
Weber Herbison, DMD
- General Practice Dentistry
- Forest, MS
National Provider Identifier
1689569964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111166
- Practice address
- 208 W Third St
Forest, MS 39074-4106 - Phone
- (601) 469-4881
- Fax
- (601) 469-4881
- NPI assigned
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 111166 | MS | Primary |
Addresses
Primary practice location
208 W Third St
Forest, MS 39074-4106
Mailing address
208 W Third St
Forest, MS 39074-4106
Phone (601) 469-4881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111166 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herbison Dental LLC | General Practice | Current | Accepting new patients |
| Reynolds Dental Practice | General Practice | Past | Accepting new patients |
Locations
208 W Third St
Forest, MS 39074
Phone (601) 469-4881
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Forest, MS
- NPI 1780575639
-
- General Practice Dentistry
- Forest, MS
- NPI 1649435116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1689569964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 W THIRD ST",
"city": "FOREST",
"state": "MS",
"postal_code": "390744106",
"telephone_number": "601-469-4881",
"fax_number": "601-469-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W THIRD ST",
"city": "FOREST",
"state": "MS",
"postal_code": "390744106",
"telephone_number": "601-469-4881",
"fax_number": "601-469-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBISON",
"first_name": "WEBER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "111166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.