Summit Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMMIT DENTAL LLC

Practice address

1603 23Rd Ave
Meridian, MS 39301-3102

Phone

(601) 568-4244

Fax

(601) 568-4245

NPI assigned

Sep 17, 2026

Organization subpart

No

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

Authorized official

Name

William Brock Martin, DMD

Title

DMD/Owner

Phone

(601) 568-4244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1982516803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-568-4244",
            "fax_number": "601-568-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-568-4244",
            "fax_number": "601-568-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "601-568-4244",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Meridian, MS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.