Ellisville State School Dental

  • 1013085414 NPI Number
  • |
  • Actived: 17 years ago
  • |
Ellisville State School Dental is a health care provider based in Ellisville, MS. The NPI Number is 1013085414 and it has been active since 17 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Ellisville State School Dental is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Ellisville State School Dental

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/01/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 09013809
  • License State: MS

Provider Mailing Address

  • Address: 1101 Highway 11 S
    Ellisville, MS 39437
  • Phone: 601-477-9384
  • Fax: 601-477-5700

Provider Practice Location

  • Address: 1101 Highway 11 S
    Ellisville, MS 39437
  • Phone: 601-477-9384
  • Fax: 601-477-5700

Authorized Official

  • Name: Suzie Lassiter
  • Position/Title: Director Of Facility
  • Telephone Number: 601-477-9384

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 09013809
  • License State: MS
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 09013809
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MS
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ellisville State School Dental?
  • A: The npi number for Ellisville State School Dental is 1013085414.
  • Q: What are Ellisville State School Dental's specialties?
  • A: Ellisville State School Dental's specialties are Dentist and different specialities.
  • Q: Where is Ellisville State School Dental business practice location?
  • A: Ellisville State School Dental business practice location is 1101 Highway 11 S, Ellisville, MS 39437.
  • Q: How to contact Ellisville State School Dental?
  • A: You can contact Ellisville State School Dental via 601-477-9384.
  • Q: What is the authorized official for Ellisville State School Dental?
  • A: The authorized office name is Suzie Lassiter with position/title is Director Of Facility and you can reach the authorized official via phone number 6014779384.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.