Reservoir Smiles Dentistry, Pllc

LBN: Reservoir Smiles Dentistry, Pllc
Reservoir Smiles Dentistry, Pllc is an health care organization with primary practice located at 1149 Old Fannin Rd Ste 26 , Brandon MS 39047-9244. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Reservoir Smiles Dentistry, Pllc can be contacted via phone (601) 992-7972, or through Shamburger, Amye Lee via phone (769) 798-3909.

Contact Information

Primary practice address
1149 Old Fannin Rd Ste 26 Brandon MS 39047-9244
Phone: (601) 992-7972
Fax: (601) 992-7975
Website:
Map and Directions
Authorized official contact:
Name: Shamburger, Amye Lee Doctor of Dental Medicine (DMD)
Phone: (769) 798-3909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3421 Mississippi

Profile Details

NPI number 1316458136
LBN Legal business name Reservoir Smiles Dentistry, Pllc
DBA Doing business as
Authorized official Shamburger, Amye Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2017
Last updated Oct 19th, 2017 - about 9 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 1316458136 NPPES
Mississippi Other 1376725754 DR. AMYE L SHAMBURGER

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