AUSTIN TAYLOR D.D.S., P.A. (NPI# 1811188444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811188444 |
| Entity Type | Organization |
| Organization Name | AUSTIN TAYLOR D.D.S., P.A. |
| Practice Address |
2910 Melton Ave Pascagoula MS 39581-4120 |
| Practice Telephone | 2287629250 |
| Practice Fax Number | 2287621785 |
| Mailing Telephone | 2287629250 |
| Mailing Fax Number | 2287621785 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | DR. AUSTIN TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 2287629250 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
125766 | MS | Dental Providers |
| Street Address |
2910 MELTON AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427174135 | Susan Leake Shoults | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| 1447463328 | Amy Sanders Spencer | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-05-08 |
| 1427174143 | Larry J Wilson | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| 1265558951 | Millard Austin Taylor | Dentist | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| 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 |
|---|---|---|---|---|
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1407061252 | Russell C. Parker | Dentist | 1226 Jackson Ave, Pascagoula, MS 39567-4348 | 2007-05-14 |
| 1427262013 | John E Privett | Dentist | 1622 Ingalls Ave, Pascagoula, MS 39567-6630 | 2007-05-10 |
| 1649399007 | Brendon William Berg | Dentist | 3005 Old Mobile Ave, Pascagoula, MS 39581-3641 | 2007-03-28 |
| 1972686582 | Dean Allen Scheurich | Dentist | 2414 Ingalls Ave, Pascagoula, MS 39567 | 2006-10-24 |
| 1073601407 | Alvervica Whitfield Lucas | Dentist | 3804 Hospital St, Pascagoula, MS 39581-4167 | 2006-10-11 |
| 1861409633 | Alvin Lafayette Felts IIi | Dentist | 3613a Hospital St, Pascagoula, MS 39581-4112 | 2006-08-02 |
| 1801876099 | James Aaron Mowery | Dentist | 2905 14th St, Pascagoula, MS 39567-5208 | 2006-01-23 |
| 1043650187 | Mary Oyindamola Oyeleye | Dentist | 4105 Hospital St, Pascagoula, MS 39581-5312 | 2013-07-03 |
| 1538504824 | South Mississippi Smiles Dentistry LLC | Dentist | 4105 Hospital St, Pascagoula, MS 39581-5312 | 2013-05-01 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on AUSTIN TAYLOR D.D.S., P.A..
| 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.