Sherry Chance Pippen, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3267-03 Issued in MS

Legal business name

SHERRY CHANCE PIPPEN, DMD, PA

Practice address

823 F E Sellers Hwy
Monticello, MS 39654-9378

Phone

(601) 587-7737

Fax

(601) 587-9457

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sherry Chance Pippen, DMDNPI 1649201591

Title

Owner, Dentist

Phone

(601) 587-7737

Specialties & licenses 1

Addresses

Other names 1

• Oak Lane Family Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherry C Pippen, DMD

  • Dentist
  • Monticello, MS
  • NPI 1649201591

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1689840977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2014",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396542014",
            "telephone_number": "601-587-7737",
            "fax_number": "601-587-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 F E SELLERS HWY",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396549378",
            "telephone_number": "601-587-7737",
            "fax_number": "601-587-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY CHANCE PIPPEN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "PIPPEN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "CHANCE",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "601-587-7737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3267-03",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Lane Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce P Prive, FNP
• David Warren Ready, RPH
• Rest Well Sleep Diagnostics, LLC
• Sacred Hearts Home Care LLC
• Molly Grace Ready Sasser, NP-C
• Amanda Rose Smith, FNP-C
• Austin Smith, OT
• Shannon Smith
• South Mississippi Medical Supply and Veterans Serivces, LLC
• Southwest Mississippi Planning and Development District

• All providers in Monticello, MS
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.