Organization Active NPI

R&B Dental Group Inc

Doing business as One Smile Dental Group

  • General Practice Dentistry
  • Pontotoc, MS
National Provider Identifier
1790144210
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2885-95 Issued in MS
Legal business name
R&B DENTAL GROUP INC
Doing business as
One Smile Dental Group
Practice address
152 Highway 15 N
Pontotoc, MS 38863-1913
Phone
(662) 534-4397
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Dr. David Kevin Rowan, DMDNPI 1639264302
Title
Owner
Phone
(662) 534-4397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2885-95 MS Primary
General Practice Dentistry 1223G0001X 3737-14 MS

Addresses

Primary practice location

152 Highway 15 N
Pontotoc, MS 38863-1913

Mailing address

717 Coulter Dr
New Albany, MS 38652-2808

Other names 1

  • One Smile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

717 Coulter Dr
New Albany, MS 38652
Phone (662) 534-4397

152 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-7328

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1790144210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 COULTER DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HIGHWAY 15 N",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631913",
            "telephone_number": "662-534-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&B DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-534-4397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2885-95",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3737-14",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.