Union Dentistry, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3001-97 Issued in MS

Legal business name

UNION DENTISTRY, INC.

Practice address

25043 Highway 15
Union, MS 39365-8577

Phone

(601) 774-9949

Fax

(601) 774-9955

NPI assigned

Dec 21, 2006

Last updated

Aug 22, 2020By 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

Dr. Tina Nicole Harrison, D.M.D.

Title

Ownerdentist

Phone

(601) 774-9949

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Tina F Harrison, D.M.D

  • General Practice Dentistry
  • Union, MS
  • NPI 1417038977
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689738833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25043 HIGHWAY 15",
            "address_2": "P.O. BOX 276",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393658577",
            "telephone_number": "601-774-9949",
            "fax_number": "601-774-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25043 HIGHWAY 15",
            "city": "UNION",
            "state": "MS",
            "postal_code": "393658577",
            "telephone_number": "601-774-9949",
            "fax_number": "601-774-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNERDENTIST",
        "authorized_official_telephone_number": "601-774-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3001-97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660263",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loren Robinson, D.M.D.
• Jamaal Rogers
• SCPG Mississippi LLC (Express Rx of Union)
• Kelly Spence
• Jacqueline Nechelle Steele, PT
• Union Discount Pharmacy
• Union Public School District
• Utown Emergency Physicians, LLC
• Tony Warren
• Thomas E. Welsh III, M.D.

• General Practice Dentistry in Union, MS
• Providers in Union, 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 Aug 22, 2020; 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.