GRANTS FERRY FAMILY DENTISTRY (NPI# 1265779052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265779052 |
| Entity Type | Organization |
| Organization Name | GRANTS FERRY FAMILY DENTISTRY |
| Practice Address |
1075 Lake Village Cir Brandon MS 39047-6743 |
| Practice Telephone | 6019921605 |
| Practice Fax Number | 6019929534 |
| Mailing Telephone | 6019921605 |
| Mailing Fax Number | 6019929534 |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |
| Authorized Official Name | DR. CARLA RUSHING (OWNER) |
| Authorized Official Telephone | 6019921605 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3276-03 | MS | Ambulatory Health Care Facilities |
| Street Address |
1075 LAKE VILLAGE CIR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588926570 | Justin Lowrey Dyre | Dentist | 1075 Lake Village Cir, Brandon, MS 39047-6743 | 2012-06-14 |
| 1609492750 | Erin Green Dds PC | Dentist | 1075 Lake Village Cir, Brandon, MS 39047-6743 | 2020-06-24 |
| 1699113365 | Erin Russell Green | Dentist | 1075 Lake Village Cir, Brandon, MS 39047-6743 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242111 | Lumina Dentalof Brandon, Pa | Clinic/Center | 225 Brandon Town Center Dr, Brandon, FL 33511-4728 | 2019-12-18 |
| 1316458136 | Reservoir Smiles Dentistry, Pllc | Clinic/Center | 1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244 | 2017-10-19 |
| 1083099600 | Skylight Dental Care Pllc | Clinic/Center | 117 N. Oakwood Avenue, Brandon, FL 33510 | 2015-07-24 |
| 1841617305 | Mobile Health Solutions Inc | Clinic/Center | 1700 W Government St Ste 203, Brandon, MS 39042-2423 | 2014-03-23 |
| 1578122172 | Vladimir A. Avril, Pllc | Clinic/Center | 3413 S Kings Ave Ste 200, Brandon, FL 33511-7780 | 2019-06-07 |
| 1770064388 | Brandon Family Dentistry | Clinic/Center | 5 Carver St, Brandon, VT 05733-1103 | 2018-08-22 |
| 1073057964 | Suncoast Community Health Centers, Inc | Clinic/Center | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2016-12-12 |
| 1013325265 | Bruce D. Waterman, Dmd,pa | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-07-31 |
| 1902220320 | Bruce Waterman Dmd, Sleep Ez,pl | Clinic/Center | 127 Kingsway Rd, Brandon, FL 33510-4601 | 2014-02-05 |
| 1164607552 | Family Health Care Clinic, Inc. | Clinic/Center | 1551 W Government St, Brandon, MS 39042 | 2008-01-03 |
| Find all providers in BRANDON | ||||
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| 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.