Individual provider Active NPI

Robert Conner Bills, DDS MS

  • Pediatric Dentistry
  • Hattiesburg, MS
National Provider Identifier
1992758650
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Practice address
109 Millsaps Drive
Suite a
Hattiesburg, MS 39402-1587
Phone
(601) 268-1234
Fax
(601) 268-8648
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X MS Primary

Addresses

Primary practice location

109 Millsaps Drive
Suite a
Hattiesburg, MS 39402-1587

Mailing address

109 Millsaps Drive
Suite a
Hattiesburg, MS 39402-1587
Phone (601) 268-1234

Other identifiers 1

IdentifierTypeStateIssuer
00064711MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PEDO579 177577MSMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992758650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DRIVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-268-1234",
            "fax_number": "601-268-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MILLSAPS DRIVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021587",
            "telephone_number": "601-268-1234",
            "fax_number": "601-268-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "ROBERT",
        "middle_name": "CONNER",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064711",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.