DR. JAMAAL EDWIN LONGINO (NPI# 1205090040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090040 |
| Entity Type | Individual |
| Full Name | DR. JAMAAL EDWIN LONGINO |
| Credential | DMD |
| Practice Address |
105 Ridge Way Ste Flowood MS 39232-3303 |
| Practice Telephone | 6012031654 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3483-08 | MS | Dental Providers |
| Street Address |
105 RIDGE WAY STE |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841742756 | Manisha Shrestha Pradhan | Dentist | 105 Ridgeway, Flowood, MS 39232 | 2016-10-26 |
| 1447663497 | Max Keith Klaus | Dentist | 2695 Flowood Dr Ste A, Flowood, MS 39232-9358 | 2014-06-07 |
| 1730476060 | Charles David Ratcliff | Dentist | 201 E Layfair Dr Ste 120, Flowood, MS 39232-7604 | 2011-07-07 |
| 1144528381 | Krystel Braddy-brown | Dentist | 105 Ridge Way Unit 3, Flowood, MS 39232-3303 | 2011-03-12 |
| 1538398003 | Randi Cline Green | Dentist | 102 Pineview Dr, Flowood, MS 39232-6039 | 2009-07-06 |
| 1285815589 | Gary Demetrick Keeler | Dentist | 1000 Lakeland Square Ext Ste 700, Flowood, MS 39232-7648 | 2007-11-15 |
| 1225254329 | David J Caldwell | Dentist | 102 E Pineview Dr., Flowood, MS 39232 | 2007-04-17 |
| 1710061403 | James Edward Kimmons | Dentist | 4220 Lakeland Drive, Suite F, Flowood, MS 39232 | 2006-10-25 |
| 1407937287 | Charles Edward Ramsey | Dentist | 209 Woodline Drive, Flowood, MS 39232 | 2006-10-18 |
| 1598113540 | Joseph Boone Dmd PC | Dentist | 128 Riverview Dr, Flowood, MS 39232-8908 | 2016-06-01 |
| Find all providers in FLOWOOD | ||||
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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.