DR. MICHAEL HAROLD SHIELDS (NPI# 1649392085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649392085 |
Entity Type | Individual |
Full Name | DR. MICHAEL HAROLD SHIELDS |
Credential | D.M.D. |
Practice Address |
4218 Castenera Ave Moss Point MS 39563-2719 |
Practice Telephone | 2284755854 |
Practice Fax Number | 2284750287 |
Mailing Telephone | 2284755854 |
Mailing Fax Number | 2284750287 |
Enumeration Date | 2007-04-05 |
Last Update Date | 2012-04-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2033-83 | MS | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00060001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437428992 | Michael Lee Shields Jr. | Specialist/Technologist | 101 Adison Street, Livingston, AL 35470 | 2011-12-29 |
1225181043 | Michael W. Shields | Dentist | 703 N Cascade Ave, Colorado Springs, CO 80903-3205 | 2007-01-18 |
1689626327 | Michael Walker Shields | Psychologist | 1645 Falmouth Rd, Bayberry Square Unit E-3, Centerville, MA 02632-2932 | 2006-05-17 |
1427554377 | Michael Connor Shields | Student in an Organized Health Care Education/Training Program | 600 Roe Ave, Elmira, NY 14905-1629 | 2018-03-31 |
1801337654 | Michael Shields | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2017-03-13 |
1740638253 | Michael Shields | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2016-05-25 |
1609875848 | Michael S. Shields | Optometrist | 221 Allen St, Owensboro, KY 42303-4139 | 2005-07-19 |
Street Address |
4218 CASTENERA AVE |
City | MOSS POINT |
State | MS |
Zip Code | 39563-2719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215596713 | Emmanuel Transit, LLC | Non-emergency Medical Transport (VAN) | 4337 Terrace Drive, Moss Point, MS 39563 | 2019-06-08 |
1134628985 | Kendra S Gardner | Nurse Practitioner | 3702 Jefferson St, Pascagoula, MS 39563 | 2018-02-07 |
1386186591 | Alice Smith | Counselor | 5007 Jefferson Street, Moss Point, MS 39563 | 2016-11-07 |
1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
1417988916 | Coastal Family Health Center | Clinic/Center | 6602 Orange Grove Road, Moss Point, MS 39563 | 2006-07-05 |
1285107466 | Miller Pharmacy | Pharmacy | 7818 Highway 613, Moss Point, MS 39563 | 2019-01-09 |
1629203153 | Clifford James Cook | Dentist | 4100 Mcinnis Ave, Moss Point, MS 39563-0000 | 2009-05-28 |
1518172568 | Moss Point Family Clinic | Clinic/Center | 5430 Griffin St, Moss Point, MS 39563-2003 | 2007-05-13 |
1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
1871073403 | Elizabeth Adair Beatty | Pharmacist | 4231 Dantzler St, Moss Point, MS 39563-2217 | 2018-08-14 |
Find all providers in zip 39563 |
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 |
---|---|---|---|---|
1043535768 | Sonya White, D. D. S., P.C. | Dentist | 4014 Main St, Moss Point, MS 39563-4113 | 2010-04-06 |
1629203153 | Clifford James Cook | Dentist | 4100 Mcinnis Ave, Moss Point, MS 39563-0000 | 2009-05-28 |
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 |
City | MOSS POINT |
Zip Code | 39563 |
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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.