Ali Bounds, DMD
Individual provider Active NPI Dentist · Laurel, MS
NPI 1962022533 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1962022533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4125-20 (MS)
- Practice address
- 1010 N 15TH Ave
Laurel, MS 39440-2656 - Phone
- (601) 319-7465
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4125-20 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bounds Family Dental | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4125-20 | MS | Yes |
Addresses
Primary practice location
1010 N 15TH Ave
Laurel, MS 39440-2656
Mailing address
1010 N 15TH Ave
Laurel, MS 39440-2656
Phone (601) 649-3511
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.