MRS. SHELLIE V BRELAND (NPI# 1891953642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891953642 |
| Entity Type | Individual |
| Full Name | MRS. SHELLIE V BRELAND |
| Credential | DDS |
| Practice Address |
501 Second St Pelahatchie MS 39145 |
| Mailing Address |
Po Box 614 Pelahatchie MS 39145 |
| Practice Telephone | 6018547478 |
| Practice Fax Number | 6018547437 |
| Mailing Telephone | 6018547478 |
| Mailing Fax Number | 6018547437 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2015-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 339106 | MS | Dental Providers |
| Street Address |
501 SECOND ST |
| City | PELAHATCHIE |
| State | MS |
| Zip Code | 39145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211516 | S&p Ventures LLC | Dentist | 501 Second St, Pelahatchie, MS 39145-2786 | 2017-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003263856 | Telehealthone LLC | Nurse Practitioner | 404 Second Street, Pelahatchie, MS 39145 | 2016-05-23 |
| 1821328360 | Brewer Healthcare Clinic, LLC | Nurse Practitioner | 610 Hwy 80, Pelahatchie, MS 39145 | 2010-01-06 |
| 1245420835 | Care Plus Pelahatchie Clinic | Family Medicine | 501 Highway 80 East, Pelahatchie, MS 39145 | 2007-07-30 |
| 1467478743 | Family Health Care Clinic, Inc. | Clinic/Center | 100 Brooks Avenue, Pelahatchie, MS 39145 | 2006-07-13 |
| 1699292227 | Amanda L Jackson | Pharmacist | 404 Second Street, Pelahatchie, MS 39145 | 2017-08-24 |
| 1275669517 | Rhodes & Robby Drugs Inc | Pharmacist | 114 Brooks Street, Pelahatchie, MS 39145-0249 | 2007-02-23 |
| 1982942223 | Pelahatchie Family Medicine | Family Medicine | 507 Second St, Pelahatchie, MS 39145-2786 | 2013-01-22 |
| 1518194265 | Mary Ann Griffin | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2009-06-19 |
| 1437514262 | Griffin Family Medical Clinic Pa | Nurse Practitioner | 507 Highway 80, Pelahatchie, MS 39145-2786 | 2015-12-21 |
| 1184974446 | Alicia Marie Slater | Marriage & Family Therapist | 505 Second St, Pelahatchie, MS 39145-3044 | 2012-09-13 |
| Find all providers in zip 39145 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918278 | Lincoln Dental Arts, Pllc | Dentist | 4301 Lincoln Rd # 20, Hattiesburg, MS 39402-3036 | 2020-09-30 |
| 1528671971 | Arthur Cooper | Dentist | 3999 N Gloster St Ste D, Tupelo, MS 38804-0950 | 2020-08-26 |
| 1124630462 | Elite Practice Management | Dentist | 7185 Crape Myrtle Dr, Olive Branch, MS 38654-1971 | 2020-08-18 |
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1619595295 | Charles Austin Huffman | Dentist | 1189 E County Line Rd, Jackson, MS 39211-1836 | 2020-07-09 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1760003644 | Phillip John Sheridan | Dentist | Keesler Air Force Base, 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-01 |
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1972146728 | David M. Perez, Dmd, P.C. | Dentist | 4600 Hardy St Ste 31a, Hattiesburg, MS 39402-1349 | 2019-10-24 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | PELAHATCHIE |
| Zip Code | 39145 |
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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.