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SOUTH MISSISSIPPI ENDODONTICS PA NPI 1194052373


NPI Information

NPI: 1194052373
Provider Name: SOUTH MISSISSIPPI ENDODONTICS PA
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1721 MEDICAL PARK DR
SUITE 201
BILOXI, MS
ZIP 39532
Phone: (228) 267-3511
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SOUTH MISSISSIPPI ENDODONTICS PA is an endodontics dentist in Biloxi, MS. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOUTH MISSISSIPPI ENDODONTICS PA NPI is 1194052373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1721 MEDICAL PARK DR
SUITE 201
BILOXI, MS
ZIP 39532-109
Phone: (228) 267-3511
Fax: (601) 510-4448

The provider's authorized official is Brandon Craig Anderson .
The authorized official title is Dentist and has the following contact phone number (503) 756-2307.

The enumeration date for this NPI number is 11/10/2009 and was last updated on 12/7/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics3122-00MISSISSIPPIYes

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: 11/14/2023

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