DR. DWIGHT THOMPSON (NPI# 1194710947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194710947 |
| Entity Type | Individual |
| Full Name | DR. DWIGHT THOMPSON |
| Credential | DSS |
| Practice Address |
12 East Brunswick Byhalia MS 38611-0698 |
| Mailing Address |
P.o. Box 698 12 East Brunswick Byhalia MS 38611-0698 |
| Practice Telephone | 6628382163 |
| Practice Fax Number | 6628387945 |
| Mailing Telephone | 6628382163 |
| Mailing Fax Number | 6628387945 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4742 | TN | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3569-10 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3226520 | 05 | |
| MS | 00108254 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659524320 | Dwight E Thompson | Dentist | 567 W. 14th St., Units D & E, Chicago Heights, IL 60411 | 2008-10-28 |
| 1942378229 | Dwight Alan Thompson | Social Worker | 20006 Cedar Valley Rd Ste 101, Lynnwood, WA 98036-6334 | 2006-12-02 |
| 1477669075 | Dwight E Thompson | Physician Assistant | 530 3rd St Nw, Harlowton, MT 59036-0287 | 2006-08-23 |
| Street Address |
12 EAST BRUNSWICK |
| City | BYHALIA |
| State | MS |
| Zip Code | 38611-0698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325801 | Henry Grady Marlow IIi | Family Medicine | 12 East Brunswick, Byhalia, MS 38611-0698 | 2005-06-10 |
| 1720251754 | Delores Roberson | Nurse Practitioner | 12 East Brunswick, Byhalia, MS 38611 | 2008-04-10 |
| 1376754077 | Amy R. Woods | Internal Medicine | 12 East Brunswick, Byhalia, MS 38611-0698 | 2007-05-24 |
| 1619025269 | Northeast Ms Health Care, Inc. | Clinic/Center | 12 East Brunswick, Byhalia, MS 38611 | 2007-01-08 |
| 1407850019 | Annabelle D. Cabe | Family Medicine | 12 East Brunswick, Byhalia, MS 38611 | 2005-06-10 |
| 1770587388 | Teresa Crockett | Nurse Practitioner | 12 East Brunswick, Byhalia, MS 38611 | 2005-06-10 |
| 1932103546 | Brenda Davis | Nurse Practitioner | 12 East Brunswick, Byhalia, MS 38611 | 2005-06-10 |
| 1861496507 | Clifton Rodgers | Family Medicine | 12 East Brunswick, Byhalia, MS 38611-0698 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710498746 | Donica Long | Nurse Practitioner | 12 E. Brunswick St, Byhalia, MS 38611 | 2017-10-17 |
| 1407101256 | Reach Adult Recreation Service, LLC | Day Training, Developmentally Disabled Services | 73 Chase Street, Byhalia, MS 38611 | 2012-07-18 |
| 1720369861 | Freds Stores of Tennessee Inc | Pharmacy | 15 East Stonewall Rd., Byhalia, MS 38611 | 2011-09-02 |
| 1821397944 | Shepherds | Durable Medical Equipment & Medical Supplies | 4379 Cayce Rd, Byhalia, MS 38611 | 2011-03-16 |
| 1134352172 | Yvonne Ingram Burns | Speech-Language Pathologist | 4212 Highway 309 S, Byhalia, MS 38611 | 2009-08-25 |
| 1407043987 | Chauntay Yvette Bradley | Family Medicine | 12 E Brunswick St, Byhalia, MS 38611 | 2007-09-28 |
| 1548300296 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 2922 Church St, Byhalia, MS 38611 | 2007-02-08 |
| 1558410738 | Northeast Mississippi Health Care, Inc. | Clinic/Center | 12 East Brunswick Ave., Byhalia, MS 38611 | 2007-01-09 |
| 1982796546 | Byhalia Drug | Pharmacy | 2438 Church St, Byhalia, MS 38611 | 2006-09-29 |
| 1679577555 | Kathryn Claire Pruitt | Nurse Practitioner | 111 Chase St, Byhalia, MS 38611 | 2005-06-09 |
| Find all providers in zip 38611 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1518564210 | Reagan Mcnerney | Dentist | 275 11th Ave Sw, Magee, MS 39111-3553 | 2020-10-06 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1275157463 | Anderson Reid Bensch | Dentist | 160 Cracker Barrell Dr, Batesville, MS 38606-3031 | 2020-06-03 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1831746338 | Gary Williams LLC | Dentist | 100 Marketplace Dr Ste B, Byram, MS 39272-8974 | 2019-08-20 |
| 1518528769 | Huey D Phillips Jr. | Dentist | 5204 Highway 51 N, Senatobia, MS 38668-1712 | 2019-06-27 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.