Brett Alan Valentine D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2752-93 Issued in MS

Legal business name

BRETT ALAN VALENTINE D.M.D.

Practice address

4864-B Hwy 589
Sumrall, MS 39482

Phone

(601) 758-0150

Fax

(601) 758-0149

NPI assigned

Mar 18, 2008

Last updated

Jul 1, 2008By 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

Dr. Brett A. Valentine, D.M.D.NPI 1396844734

Title

Owner

Phone

(601) 758-0150

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Brett A Valentine, DMD

  • General Practice Dentistry
  • Sumrall, MS
  • NPI 1396844734
  NPD (past) Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1952572919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864-B HWY 589",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-758-0150",
            "fax_number": "601-758-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864-B HWY 589",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-758-0150",
            "fax_number": "601-758-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT ALAN VALENTINE D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-758-0150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2752-93",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015268",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aultman Speech Therapy Services, LLC
• Jeanna Lyn Aultman, D.M.D.
• Jennifer Beach
• Mary Agnes Bennett, FNP
• Lindsey Boswell, APRN FNP-BC, NP-C
• Catherine Elizabeth Brock, MSN, CPNP-PC
• Rikki Suzanne Broom, PNP
• Charles Allen Bruce, FNP-C
• Ashley Bryant, MS, RD, LD
• John David Bullock, MD

• General Practice Dentistry in Sumrall, MS
• Providers in Sumrall, 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 Jul 1, 2008; 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.