SKY FAMILY DENTAL, LLC (NPI# 1255991196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255991196 |
| Entity Type | Organization |
| Organization Name | SKY FAMILY DENTAL, LLC |
| Practice Address |
200 Meadowlane Street Eupora MS 39744 |
| Practice Telephone | 6627447040 |
| Practice Fax Number | 6627447046 |
| Mailing Telephone | 6627447040 |
| Mailing Fax Number | 6627447046 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | DR. DUSTIN G. SMITH (OWNER) |
| Authorized Official Telephone | 6012979082 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00660344 | 05 |
| Street Address |
200 MEADOWLANE STREET |
| City | EUPORA |
| State | MS |
| Zip Code | 39744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1700943180 | Supervalue Pharmacy | Durable Medical Equipment & Medical Supplies | 210 A Veterans Blvd N, Eupora, MS 39744 | 2007-01-03 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1336241678 | Daniel Dean Hall | Dentist | 405 West Roane Ave, Eupora, MS 39744 | 2006-09-05 |
| 1093795148 | Murphy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 65 Medical Plaza, Eupora, MS 39744 | 2006-01-17 |
| 1750991311 | Candace Carolyne Cain | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744 | 2020-08-07 |
| 1780062265 | April S Dabbs | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744 | 2015-05-15 |
| 1891279030 | Haley Murphy | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2018-09-24 |
| 1467862961 | Dabbs Family Pharmacy LLC | Pharmacy | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2014-05-06 |
| 1497308704 | Angeline Collins Knight | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2019-07-17 |
| Find all providers in zip 39744 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838970 | Superior Smiles, LLC | Clinic/Center | 16690 E Main St, Louisville, MS 39339-2750 | 2020-07-17 |
| 1851886857 | Grenada Dental Clinic Pllc | Clinic/Center | 1800 Hill Dr Ste A, Grenada, MS 38901-5071 | 2018-06-22 |
| 1467940627 | Ld-columbus LLC | Clinic/Center | 611 Leigh Dr, Columbus, MS 39705-3036 | 2018-04-24 |
| 1821592734 | Integrity Dental Clinic, Pllc | Clinic/Center | 201 E Layfair Dr Ste 100, Flowood, MS 39232-7604 | 2018-03-23 |
| 1336647924 | Murphree's Smile Designers | Clinic/Center | 602 Pegram Dr, Tupelo, MS 38801-6322 | 2018-01-29 |
| 1144735481 | Peoples Dental Pa | Clinic/Center | 1016 Louisville St Ste G, Starkville, MS 39759-3953 | 2017-12-08 |
| 1366956419 | Bradley M Stewart Dmd LLC | Clinic/Center | 6855 Crumpler Blvd Ste 100, Olive Branch, MS 38654-1930 | 2017-11-28 |
| 1316458136 | Reservoir Smiles Dentistry, Pllc | Clinic/Center | 1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244 | 2017-10-19 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1073985925 | Decatur Dental, LLC | Clinic/Center | 68 Fourth Ave, Decatur, MS 39327-9713 | 2015-10-30 |
| 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.