DR. BRYANT RIDGWAY BOSWELL


Address: 1513 Lakeland Dr, Suite 201, Jackson, MS 39216
Phone: 6013661242

DR. BRYANT RIDGWAY BOSWELL (NPI# 1083789937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083789937
Entity Type Individual
Full Name DR. BRYANT RIDGWAY BOSWELL
Credential DDS
Practice Address 1513 Lakeland Dr
Suite 201
Jackson
MS 39216
Practice Telephone 6013661242
Practice Fax Number 6013661275
Mailing Telephone 6013661242
Mailing Fax Number 6013661275
Enumeration Date 2006-11-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 1451 71 MS Dental Providers

Office Location

Street Address 1513 LAKELAND DR
SUITE 201
City JACKSON
State MS
Zip Code 39216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902882251 Mississippi Asthma & Allergy Clinic Pa Allergy & Immunology 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 2005-12-19
1003375197 Robert Caleb Cauthen Counselor 1513 Lakeland Dr, Jackson, MS 39216-4829 2019-03-18
1154897858 Monica Roberts Counselor 1513 Lakeland Dr, Jackson, MS 39216-4829 2018-10-19
1700361763 Laura Katherine Barker Behavioral Analyst 1513 Lakeland Dr, Jackson, MS 39216-4829 2018-09-26
1528543584 Robyn Riley Brewer Behavioral Analyst 1513 Lakeland Dr, Jackson, MS 39216-4829 2018-09-26
1124315742 Claire Brabec Rosenblatt Allergy & Immunology 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 2011-07-03
1902025752 The Children's Clinic, Pllc Pediatrics 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 2007-04-24
1942424734 Medical Foundation of Central Mississippi, Inc Family Medicine 1513 Lakeland Dr, Suite 200, Jackson, MS 39216-4829 2007-04-12
1710965694 James R Haltom Allergy & Immunology 1513 Lakeland Dr, Ste 101, Jackson, MS 39216-4829 2006-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619595295 Charles Austin Huffman Dentist 1189 E County Line Rd, Jackson, MS 39211-1836 2020-07-09
1184249278 Sleep Better Solutions LLC Dentist 9 Chatwick Cv, Jackson, TN 38305-5642 2020-06-15
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1124689864 Hannah Farrar Dentist 2064 S Highland Ave, Jackson, TN 38301-7741 2019-06-24
1417515214 Richard Yoo Dentist 3857 Cooper St Ofc, Jackson, MI 49201-7547 2019-06-05
1487148078 Tanvi Patil Dentist 1074 Jackson Crossing, Jackson, MI 49202-2039 2018-06-18
1487183737 Arkady Khaykin Dentist 24 N Cooks Bridge Rd, Jackson, NJ 08527 2017-06-09
1497292239 Advanced Dental Clinic Dentist 1555 E County Line Road, Jackson, MS 39211 2017-01-31
1598131336 S Kaur Dds Inc Dentist 12120 Industry Blvd Ste 35, Jackson, CA 95642-9374 2015-08-17
1841675931 Miriam Tygier Furlong Dentist 186 W Veterans Hwy, Jackson, NJ 08527-3410 2015-07-30
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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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