Lexington Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEXINGTON DENTAL, PLLC

Practice address

302 Court SQ
Lexington, MS 39095-3630

Phone

(662) 834-9899

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 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

Lanthea Mangum

Title

Coo

Phone

(601) 271-8710

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Laura Dixon, DMD

  • Dentist
  • Lexington, MS
  • NPI 1114396553
  NPD (past)
• Skyler Edward Myers, D.M.D.

  • Dentist
  • Lexington, MS
  • NPI 1780114025
  NPD (past)
• Dustin Pambianchi, DMD

  • General Practice Dentistry
  • Lexington, MS
  • NPI 1730591983
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1821614959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LINCOLN ROAD EXT STE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023275",
            "telephone_number": "601-271-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COURT SQ",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390953630",
            "telephone_number": "662-834-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "LANTHEA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-271-8710"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Metro Dental LLC
• Jitney Pharmacies Incorporated
• John D. Whitehead (Lexington Medical Supply, LLC)
• Amy Chapman Johnson, FNP-BC
• Samuel Reid Lester, DMD
• Lexington Discount Pharmacy
• Lexington Manor Nursing Center LLC
• Lexington Manor Senior Care LLC
• Lexington Primary Care
• Lexington Rural Heath Clinic

• Dental Clinic/Center in Lexington, MS
• Providers in Lexington, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.