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ENDODONTIC ASSOCIATES PLLC NPI 1619005972


NPI Information

NPI: 1619005972
Provider Name: ENDODONTIC ASSOCIATES, PLLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
301 NORTHLAKE AVE
SUITE 111
RIDGELAND, MS
ZIP 39157
Phone: (601) 856-6364
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ENDODONTIC ASSOCIATES, PLLC is an endodontics dentist in Ridgeland, 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. ENDODONTIC ASSOCIATES, PLLC NPI is 1619005972. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

301 NORTHLAKE AVE
SUITE 111
RIDGELAND, MS
ZIP 39157-718
Phone: (601) 856-6364
Fax: (601) 856-7545

The provider's authorized official is Jeffery Brian Pride .
The authorized official title is Owner and has the following contact phone number (601) 856-6364.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 2/7/2013.


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
11223E0200XDentistEndodonticsENDO 23993MISSISSIPPIYes

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: 4/28/2024

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