NORTH MISSISSIPPI PERIODONTICS & IMPLANT DENTISTRY PLLC


Address: 103 Park Gate Ext, Tupelo, MS 38801-3038
Phone: 6628422448

NORTH MISSISSIPPI PERIODONTICS & IMPLANT DENTISTRY PLLC (NPI# 1932531373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932531373
Entity Type Organization
Organization Name NORTH MISSISSIPPI PERIODONTICS & IMPLANT DENTISTRY PLLC
Practice Address 103 Park Gate Ext
Tupelo
MS 38801-3038
Practice Telephone 6628422448
Practice Fax Number 6628428374
Mailing Telephone 6628422448
Mailing Fax Number 6628428374
Enumeration Date 2013-08-08
Last Update Date 2013-08-08
Authorized Official Name JAMES MICHAEL ROBERTSON (PRESIDENT)
Authorized Official Telephone 6628422448
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
2571-90 MS Dental Providers

Office Location

Street Address 103 PARK GATE EXT
City TUPELO
State MS
Zip Code 38801-3038

Providers in the same zip code

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 Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750594412 James Michael Robertson Dentist 103 Parkgate Drive Extended, Tupelo, MS 38801-3038 2007-05-08
1033126297 Rebecca Smith Mcdougald Dentist 1906 N Gloster St, Tupelo, MS 38804-1220 2006-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497112825 Mississippi Periodontics and Implants Pllc Dentist 218 West Jackson Street, Ridgeland, MS 39157 2016-01-15
1851640437 Ms Periodontic Specialists Group, Pllc Dentist 209 Woodline Dr., Flowood, MS 39232 2012-08-29
1790069854 Periodontal Associates of Jackson, P.a. Dentist 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 2011-10-06
1992997159 Rodney C Richardson Dentist 1609 24th Ave, Meridian, MS 39301-3112 2007-08-13
1699966770 Brenda Lyle Fowler Dentist 2408 S Lamar Blvd, Suite 3, Oxford, MS 38655-5345 2007-08-05
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1417166703 R. Clarke Stewart Dentist 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 2007-05-22
1134341407 Nichols Periodontics LLC Dentist 2401 5th Street North, Suite 2, Columbus, MS 39705 2007-05-03
1689719486 Charles Joseph Caskey Dentist 218 West Jackson St., Ridgeland, MS 39157 2007-02-20
1275681967 Pine Belt Periodontics, Pllc Dentist 9 Medical Blvd, Hattiesburg, MS 39401-7231 2007-01-08
Find all providers with the same taxonomy

Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

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.

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