Austin Family Dentistry

LBN: Austin Family Dentistry
Austin Family Dentistry is an health care organization with primary practice located at 3040 Indiana Ave , Vicksburg MS 39180. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Austin Family Dentistry can be contacted via phone (601) 634-6277, or through Austin, Misty L via phone (601) 634-6277.

Contact Information

Primary practice address
3040 Indiana Ave Vicksburg MS 39180
Phone: (601) 634-6277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Austin, Misty L Doctor of Dental Medicine (DMD)
Phone: (601) 634-6277

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2063-84 Mississippi

Profile Details

NPI number 1922217314
LBN Legal business name Austin Family Dentistry
DBA Doing business as
Authorized official Austin, Misty L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Oct 1st, 2013 - about 13 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 1922217314 NPPES
Mississippi MEDICAID 09014287

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