Family Dental Associates Pllc

LBN: Family Dental Associates Pllc
Family Dental Associates Pllc is an health care organization with primary practice located at 702 Highway 82 W Ste A , Greenwood MS 38930-5069. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Family Dental Associates Pllc can be contacted via phone (662) 453-5536, or through Whites, Perry M via phone (662) 453-5536.

Contact Information

Primary practice address
702 Highway 82 W Ste A Greenwood MS 38930-5069
Phone: (662) 453-5536
Fax: (662) 453-2324
Website:
Map and Directions
Authorized official contact:
Name: Whites, Perry M Doctor of Dental Medicine (DMD)
Phone: (662) 453-5536

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 230286 Mississippi

Profile Details

NPI number 1205986809
LBN Legal business name Family Dental Associates Pllc
DBA Doing business as
Authorized official Whites, Perry M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1205986809 NPPES
Mississippi MEDICAID 00060236
Mississippi MEDICAID 00884251
Mississippi MEDICAID 01255511

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