West Main Dental
Organization Active NPI Dental Clinic/Center · Raymond, MS
NPI 1730839622 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1730839622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- WEST MAIN DENTAL
- Practice address
- 450 W Main St
Raymond, MS 39154-8165 - Phone
- (601) 857-5021
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Madison English Smith, DMD
- Title
- Owner
- Phone
- (601) 559-5529
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
450 W Main St
Raymond, MS 39154-8165
Mailing address
PO Box 477
Raymond, MS 39154-0477
Phone (601) 559-5529
Other providers in Raymond, MS
- Specialty Healthcare
- The Vaccination Station, LLC
- Tranquility Hospice
- Trucare Hospice, LLC
- United Methodist Senior Services of Jackson Area, Inc.
- Camryn Williams
All providers in Raymond, MS · Dental Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. 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.