FRIENDS OF MISSISSIPPI DENTISTRY NPI 1831978469

NPI Information

NPI: 1831978469
Provider Name: FRIENDS OF MISSISSIPPI DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
105 N BROOKS AVE
PELAHATCHIE, MS
ZIP 39145
Phone: (601) 854-5001
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FRIENDS OF MISSISSIPPI DENTISTRY is a dental clinic center in Pelahatchie, MS. FRIENDS OF MISSISSIPPI DENTISTRY NPI is 1831978469. The provider is registered as an organization entity type.

The provider's business location address is:

105 N BROOKS AVE
PELAHATCHIE, MS
ZIP 39145-091
Phone: (601) 854-5001

The provider's authorized official is Sreenivas Koka .
The authorized official title is Board Member and has the following contact phone number (619) 456-3712.

The enumeration date for this NPI number is 9/25/2023 and was last updated on 9/25/2023.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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