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PRESTIGE DENTAL CARE NPI 1649893363


NPI Information

NPI: 1649893363
Provider Name: PRESTIGE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7138 S SIWELL ROAD
BYRAM, MS
ZIP 39272
Phone: (601) 533-0923
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PRESTIGE DENTAL CARE is a general practice dentist in Byram, MS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PRESTIGE DENTAL CARE NPI is 1649893363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7138 S SIWELL ROAD
BYRAM, MS
ZIP 39272
Phone: (601) 533-0923
Fax: (601) 351-5609

The provider's authorized official is Chianti Denice Woodfork .
The authorized official title is Dentist/member and has the following contact phone number (601) 533-0923.

The enumeration date for this NPI number is 5/28/2020 and was last updated on 5/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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