Siwell Road Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIWELL ROAD DENTAL, PLLC

Practice address

7278 S Siwell Rd
Byram, MS 39272-8703

Phone

(601) 271-8710

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Patty Toups

Title

Coo

Phone

(601) 271-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1861998619",
    "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": "7278 S SIWELL RD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728703",
            "telephone_number": "601-271-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIWELL ROAD DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "TOUPS",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-271-8710"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquita Shaver, PLPC
• Lindsay Pilgrim Sherman, DPT
• Robert Shows, MD
• Silver Light Adult Daycare, LLC
• Marika Zarafyan Simmons, PA
• Alicia K Smith, PT
• Ashley Nicole Smith
• Smuthers Prosthetics & Orthotics
• Kelly Sosa, NP
• South West Adult Day Care

• General Practice Dentistry in Byram, MS
• Providers in Byram, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.