FAMILY DENTAL CLINIC OF YAZOO CITY, LLC (NPI# 1659537884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659537884 |
| Entity Type | Organization |
| Organization Name | FAMILY DENTAL CLINIC OF YAZOO CITY, LLC |
| Practice Address |
15415 Highway 49 South Yazoo City MS 39194 |
| Mailing Address |
Po Box 1319 Yazoo City MS 39194-1319 |
| Practice Telephone | 6627466433 |
| Practice Fax Number | 6627466471 |
| Mailing Telephone | 6627466433 |
| Mailing Fax Number | 6627466471 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | DR. EMILY G BURTON (OWNER) |
| Authorized Official Telephone | 6627466433 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MS3324-05 | MS | Dental Providers |
| Street Address |
15415 HIGHWAY 49 SOUTH |
| City | YAZOO CITY |
| State | MS |
| Zip Code | 39194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584703 | Aslean Brown | Home Health | 522 Old Benton Rd, Yazoo City, MS 39194 | 2018-10-19 |
| 1326521048 | Hailey Parks Beckwith | Nurse Practitioner | 635 W Willie Morris Pkwy, Yazoo City, MS 39194 | 2018-09-09 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1285049593 | Baptist Medical Center - Yazoo, Inc. | Family Medicine | 307 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1033440268 | Medical Foundation of Central Mississippi | Internal Medicine | 828 Grand Avenue, Yazoo City, MS 39194 | 2010-01-28 |
| 1245403351 | Eyedeal Optical Yazoo City LLC | Optometrist | 728 East 15th Street, Yazoo City, MS 39194 | 2008-04-09 |
| 1245400423 | Stefanie Patterson Dendy | General Acute Care Hospital | 825 Grand Avenue, Yazoo City, MS 39194 | 2008-03-04 |
| 1144499245 | Martha Coker Home, Inc. | Skilled Nursing Facility | 2041 Grand Avenue, Yazoo City, MS 39194 | 2008-02-22 |
| 1174716179 | Martha Coker Convalescent Home Inc | Skilled Nursing Facility | 401 E 9th Street, Yazoo City, MS 39194 | 2007-08-22 |
| Find all providers in zip 39194 | ||||
| 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 |
|---|---|---|---|---|
| 1982976817 | Stasia D. Winford, Dmd, P.a. | Dentist | 410 N Jerry Clower Blvd, Yazoo City, MS 39194-8274 | 2012-02-08 |
| 1659427698 | William Newman Nelson Jr. | Dentist | 332 E Jefferson St, Yazoo City, MS 39194 | 2007-01-25 |
| 1245391101 | Emily Garner Burton | Dentist | 15415 Hwy 49 S, Yazoo City, MS 39194 | 2006-12-13 |
| 1215098173 | Daniel Calhoun Mcleod | Dentist | 15415 Hwy 49 South, Yazoo City, MS 39194 | 2006-12-13 |
| 1659719334 | Tracy Peyton Paul | Dentist | 410 N Jerry Clower Blvd, Yazoo City, MS 39194-8274 | 2013-06-04 |
| 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 | YAZOO CITY |
| Zip Code | 39194 |
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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.