Joseph J. Cain, DMD
Individual provider Active NPI General Practice Dentistry · Wiggins, MS
NPI 1780739656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780739656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2990 (MS)
- Practice address
- 208 Vardaman St S
Wiggins, MS 39577-2600 - Phone
- (601) 528-9834
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2990 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WFD, LLC | General Practice | Current |
Accepting new patients |
| Wiggins Family Dentistry | General Practice | Past | Accepting new patients |
Locations
208 Vardaman St S
Wiggins, MS 39577
Phone (601) 528-9834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2990 | MS | Yes |
Addresses
Primary practice location
208 Vardaman St S
Wiggins, MS 39577-2600
Mailing address
208 Vardaman St S
Wiggins, MS 39577-2600
Phone (601) 528-9834
Other providers in Wiggins, MS
- Wendalyn Bostic
- Emily Anne Burger
- Deepinder S. Burn
- Mary Catherine Buzhardt
- Jackson Thomas Cain
- Logan Campbell
- Children'S International, LLC
- Christian Fellowship Home
- Coastal Family Health Center, Inc
- Coastal Family Health Center, Inc.
All providers in Wiggins, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.