ENDODONTIC ASSOCIATES, PLLC (NPI# 1619005972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619005972 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC ASSOCIATES, PLLC |
| Practice Address |
301 Northlake Ave Suite 111 Ridgeland MS 39157-1718 |
| Practice Telephone | 6018566364 |
| Practice Fax Number | 6018567545 |
| Mailing Telephone | 6018566364 |
| Mailing Fax Number | 6018567545 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-02-07 |
| Authorized Official Name | DR. JEFFERY BRIAN PRIDE (OWNER) |
| Authorized Official Telephone | 6018566364 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
ENDO 23993 | MS | Dental Providers |
| Street Address |
301 NORTHLAKE AVE SUITE 111 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427346733 | Lauren Robertson Eaton | Optometrist | 301 Northlake Ave, Ste 101, Ridgeland, MS 39157-1720 | 2011-07-20 |
| 1336459668 | Crawford Eye Care | Optometrist | 301 Northlake Ave, Ste 101, Ridgeland, MS 39157-1718 | 2010-10-20 |
| 1154511152 | Adam Crawford | Optometrist | 301 Northlake Ave, Suite 101, Ridgeland, MS 39157-1718 | 2007-07-26 |
| 1750571741 | Karmen J Crawford | Optometrist | 301 Northlake Ave, Ste. 101, Ridgeland, MS 39157-1718 | 2007-07-26 |
| 1881806354 | Jeffery Brian Pride | Dentist | 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 | 2007-05-04 |
| 1306068937 | Carey Alan Johnston | Dentist | 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619145539 | Kristy Goff Jones | Dentist | 301 Northlake Ave Ste 111, Ridgeland, MS 39157-1720 | 2008-02-13 |
| 1811098999 | Thomas Ferris Gerrets Jr. | Dentist | 599 Steed Rd # A, Ridgeland, MS 39157-1707 | 2006-09-25 |
| 1619147964 | D. Clark Strange, Jr. | Dentist | 805 S Wheatley St, Suite 510, Ridgeland, MS 39157-5000 | 2008-03-03 |
| 1881806354 | Jeffery Brian Pride | Dentist | 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 | 2007-05-04 |
| 1306068937 | Carey Alan Johnston | Dentist | 301 Northlake Ave, Suite 111, Ridgeland, MS 39157-1718 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235349143 | Richard Ted Rice | Dentist | 910 Bechtel Blvd, Ocean Springs, MS 39564-3057 | 2007-05-23 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1205057585 | Harry Thomas Cosby | Dentist | 144 South Thomas Street, Suite 203, Tupelo, MS 38801 | 2007-05-02 |
| 1891822474 | James Derek White | Dentist | 1 Woodgreen Pl, Suite 100, Madison, MS 39110-8161 | 2007-02-28 |
| 1962566646 | J Thad Strange | Dentist | 517 Keywood Cir Ste 1a, Flowood, MS 39232-3054 | 2006-12-20 |
| 1346335064 | Ronald S. Bourgeois | Dentist | 423 Security Sq, Gulfport, MS 39507-1922 | 2006-10-04 |
| 1134238322 | Lance D Dillon | Dentist | 927 Highway 51, Madison, MS 39110 | 2006-08-30 |
| 1457465304 | Floyd Norman Ford | Dentist | 2900 Bluecutt Rd, Suite 4, Columbus, MS 39705-1470 | 2006-08-18 |
| 1184634032 | Michael Patrick Lowery | Dentist | 5740 Getwell Road, Bldg. 10, Ste. A, Southaven, MS 38672-6347 | 2006-08-09 |
| 1760959647 | Gulf Coast Endodontic Associates, LLC | Dentist | 423 Security Sq, Gulfport, MS 39507-1922 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ENDODONTIC ASSOCIATES, PLLC.
| 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.