Michael W Hubbert DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL W HUBBERT DMD, LLC

Practice address

99 Highway 511
Quitman, MS 39355-8899

Phone

(601) 776-3370

Fax

(601) 776-3373

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By 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. Michael Wayne Hubbert, DMD

Title

Managing Partner

Phone

(601) 776-3370

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.

• Reagan McNerney, D.M.D.

  • General Practice Dentistry
  • Maryville, TN
  • NPI 1518564210
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1972073849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 511",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393558899",
            "telephone_number": "601-776-3370",
            "fax_number": "601-776-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 511",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393558899",
            "telephone_number": "601-776-3370",
            "fax_number": "601-776-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W HUBBERT DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "HUBBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-776-3370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00060139",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospice Care Group, LLC
• Jones Family Medicine Clinic, PLLC (JFMC Quitman Medical, LLC)
• Laboratory Corporation of America Holdings
• Enija Mays
• Kadejaih D McCarty
• Mississippi Em-I Medical Serives PC
• Mississippi State Department of Health
• Laronda Leshell Moore
• Ms Lakeside LLC (Lakeside Health and Rehabilitation Center)
• Randy J Neely

• Dental Clinic/Center in Quitman, MS
• Providers in Quitman, 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 Dec 4, 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.