KS2 MS PC (NPI# 1528258464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528258464 |
Entity Type | Organization |
Organization Name | KS2 MS PC |
Other Organization Name | SUNNYBROOK DENTISTRY |
Practice Address |
401 S Gloster St Suite 101 Tupelo MS 38801-5539 |
Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
Practice Telephone | 7709169000 |
Practice Fax Number | 6789045666 |
Mailing Telephone | 7709165028 |
Mailing Fax Number | 6782477858 |
Enumeration Date | 2007-07-26 |
Last Update Date | 2019-01-07 |
Authorized Official Name | DR. DALE G MAYFIELD (PRESIDENT) |
Authorized Official Telephone | 7709165036 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Kool Smiles | Doing Business As Name - Organization |
Sunnybrook Dentistry | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689864662 | Ks2 Ms PC | Dentist | 989 Ellis Ave, Jackson, MS 39209-6256 | 2007-07-26 |
1518166214 | Ks2 Ms PC | Dentist | 3720 Hardy St, Suite 23, Hattiesburg, MS 39402-1550 | 2007-07-12 |
Street Address |
401 S GLOSTER ST SUITE 101 |
City | TUPELO |
State | MS |
Zip Code | 38801-5539 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508804261 | Triumph Physical Therapy Limited Partnership | Clinic/Center | 401 S Gloster St, Suite 106, Tupelo, MS 38801-5539 | 2006-06-03 |
1821447657 | Tennisha Buckner | Dentist | 401 S Gloster St, Tupelo, MS 38801-5540 | 2016-06-13 |
1174965982 | Victoria Ester Graham | Dentist | 401 S Gloster St, Suite 101, Tupelo, MS 38801-5540 | 2013-07-22 |
1952663148 | Samuel Robert Hall | Dentist | 401 S Gloster St, Suite 101, Tupelo, MS 38801-5540 | 2012-06-13 |
1174885461 | Michael Monroe | Dentist | 401 S Gloster St, Ste. 101, Tupelo, MS 38801-5540 | 2012-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
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 |
---|---|---|---|---|
1255822169 | Daniel Kirk Knighton | Dentist | 101 N Industrial Rd Ste A, Tupelo, MS 38801-3441 | 2018-05-25 |
1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
1386097343 | Latoya Legrand | Dentist | 401 S Gloster St Ste 101, Tupelo, MS 38801-5541 | 2016-07-14 |
1336418540 | Happy Smiles Dentistry - Tupelo LLC | Dentist | 101 N Industrial Rd, Ste H, Tupelo, MS 38801-3441 | 2011-12-16 |
1720389984 | John Paul Bryson | Dentist | 1203 N Gloster St, Suite M, Tupelo, MS 38804-1222 | 2010-11-04 |
1467661983 | Ed Holliday, D.m.d., Inc. | Dentist | 901 Garfield St, Tupelo, MS 38801-5737 | 2007-05-21 |
1427264241 | John T Lamberth | Dentist | 1763 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2007-05-16 |
1073727772 | Joby Davis Collins | Dentist | 704 Hillcrest Drive, Tupelo, MS 38804-1235 | 2007-05-10 |
1558488841 | Charles F Young | Dentist | 604 Brunson Dr, Tupelo, MS 38801-4947 | 2007-03-23 |
1134246630 | Tupelo Smiles Family and Cosmetic Dentistry | Dentist | 101 Park Gate Dr, Tupelo, MS 38801-3033 | 2007-03-22 |
Find all providers in TUPELO |
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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.