HEATH BRYAN COLEMAN, DDS OF MISSISSIPPI II, PLLC (NPI# 1356828677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356828677 |
| Entity Type | Organization |
| Organization Name | HEATH BRYAN COLEMAN, DDS OF MISSISSIPPI II, PLLC |
| Practice Address |
688 Goodman Rd Ste 123 Olive Branch MS 38654 |
| Practice Telephone | 6626358480 |
| Mailing Telephone | 6626358480 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | AMANDA G HENSON (SUPPORT TEAM) |
| Authorized Official Telephone | 9188641147 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEATH BRYAN COLEMAN OF MISSISSIPPI, DDS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Street Address |
688 GOODMAN RD STE 123 |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| 1649612680 | Olive Branch Urgent Care #1 LLC | Clinic/Center | 5142 Goodman Road, Suite 107, Olive Branch, MS 38654 | 2013-07-18 |
| Find all providers in zip 38654 | ||||
| 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 |
|---|---|---|---|---|
| 1881034353 | Natalie Carruth | Dentist | 9880 Goodman Road, Olive Branch, MS 38654 | 2013-06-28 |
| 1679734727 | Venis Fils Siffrard | Dentist | 6760 Goodman Rd, Olive Branch, MS 38654-8778 | 2008-06-21 |
| 1215142161 | Scott Alexander | Dentist | 8230 Camp Creek Blvd., Ste 107, Olive Branch, MS 38654 | 2007-05-14 |
| 1043423841 | Wa Thames Dmd Pllc | Dentist | 9035 E Sandidge Rd, Suite 100, Olive Branch, MS 38654-3520 | 2007-05-08 |
| 1053441733 | Eleanor A Gill | Dentist | 7271 Goodman Rd, Olive Branch, MS 38654-1906 | 2007-03-06 |
| 1366577504 | Bradley M Stewart | Dentist | 6855 Crumpler Blvd, Ste 100, Olive Branch, MS 38654-1938 | 2007-02-21 |
| 1336289040 | S. Jeff Moore | Dentist | 8935 Goodman Rd, Olive Branch, MS 38654-2201 | 2007-02-08 |
| 1912080748 | Mark W Gilbert | Dentist | 6889 Highway 305 N, Olive Branch, MS 38654-2317 | 2006-10-23 |
| 1609896729 | Stephen W. Joe | Dentist | 4824 Goodman Road, Olive Branch, MS 38654 | 2006-07-20 |
| 1598374191 | Kamren Alese Joe | Dentist | 4824 Goodman Rd, Olive Branch, MS 38654-7950 | 2020-07-29 |
| Find all providers in OLIVE BRANCH | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on HEATH BRYAN COLEMAN, DDS OF MISSISSIPPI II, PLLC.
| 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.