Midsouth Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDSOUTH DENTAL PLLC

Practice address

6941 Eastchase Loop
Montgomery, AL 36117-6876

Phone

(334) 530-5000

Fax

(334) 215-1983

NPI assigned

Mar 21, 2024

Last updated

Jun 5, 2024By 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

Valerie Hamilton

Title

Director of Contracting

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

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.

• Shraddha Joshi

  • Dentist
  • Montgomery, AL
  • NPI 1194408856
  NPD
• Eromosele Claudell Okhiria, DDS

  • Dentist
  • Montgomery, AL
  • NPI 1821975517
  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1891555140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6941 EASTCHASE LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176876",
            "telephone_number": "334-530-5000",
            "fax_number": "334-215-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sherwood Miaoulis, RPH
• Michael D Irwin PA
• Shaylee Michaels
• Mid-South Home Care Services, Inc. (Mid-South Respiratory Services & HME)
• Catherin Williams Middleton, DO
• Midstate Medical Service
• Midtown Investments LLC (Custom Medical Solutions)
• Laura Goldman Mielke
• Enrique Arturo Mijangos, RN
• Michael Christian Miley, DO

• General Practice Dentistry in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.