Archusa Family Dentistry

LBN: Archusa Family Dentistry
Archusa Family Dentistry is an health care organization with primary practice located at 99 Highway 511 , Quitman MS 39355-8899. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Archusa Family Dentistry can be contacted via phone (601) 776-3700, or through Mcnerney, Reagan Danielle via phone (601) 927-5961.

Contact Information

Primary practice address
99 Highway 511 Quitman MS 39355-8899
Phone: (601) 776-3700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcnerney, Reagan Danielle Doctor of Dental Medicine (DMD)
Phone: (601) 927-5961

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1083295844
LBN Legal business name Archusa Family Dentistry
DBA Doing business as
Authorized official Mcnerney, Reagan Danielle Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 14th, 2021
Last updated Jul 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083295844 NPPES
Mississippi MEDICAID 1518564210

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