PICAYUNE GENERAL DENTISTRY INC. NPI 1255483186

NPI Information

  • NPI: 1255483186
  • Provider Name: PICAYUNE GENERAL DENTISTRY, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 500 GOODYEAR BLVD
    PICAYUNE, MS
    ZIP 39466
  • Phone: (601) 798-0500

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NPI Details

PICAYUNE GENERAL DENTISTRY, INC. is a general practice dentist in Picayune, 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. PICAYUNE GENERAL DENTISTRY, INC. NPI is 1255483186. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 GOODYEAR BLVD
PICAYUNE, MS
ZIP 39466-217
Phone: (601) 798-0500
Fax: (601) 799-0141

The provider's authorized official is Horace Eugene Combs .
The authorized official title is General Dentist and has the following contact phone number (601) 798-0500.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.

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 Practice3213-02MISSISSIPPIYes

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: 3/30/2025

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