FESMIRE DENTAL PLLC (NPI# 1720213788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720213788 |
| Entity Type | Organization |
| Organization Name | FESMIRE DENTAL PLLC |
| Practice Address |
101 Avalon Ct Suite C Brandon MS 39047-7641 |
| Practice Telephone | 6019192990 |
| Practice Fax Number | 6019192992 |
| Mailing Telephone | 6019192990 |
| Mailing Fax Number | 6019192992 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Authorized Official Name | DR. ROBERT C FESMIRE (OWNER) |
| Authorized Official Telephone | 6019192990 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
101 AVALON CT SUITE C |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-7641 |
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244702 | Pediatric Dental Center | Dentist | 517 Corner Drive, Brandon, FL 33511-5718 | 2012-04-16 |
| 1235339284 | Wren Pediatric Dentistry, Pllc | Dentist | 1390 W Government St, Suite B, Brandon, MS 39042-3272 | 2007-07-18 |
| 1184822629 | Jorge Orlando Torres Guzman | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2007-07-06 |
| 1740308733 | Joshua Wren | Dentist | 1390 W. Government Street, Suite B, Brandon, MS 39042 | 2007-03-27 |
| 1003930579 | William Edward Gonzalez | Dentist | 517 Corner St, Brandon, FL 33511-5718 | 2007-03-19 |
| 1174608368 | Henry William Cook | Dentist | 142 Gateway Dr, Brandon, MS 39042-3085 | 2006-10-26 |
| 1346335486 | Billy P Edgar | Dentist | 101 Avalon Court, Suite C, Brandon, MS 39047-7641 | 2006-10-04 |
| 1205285459 | Robert Krachenfels | Dentist | 107 W Robertson St, Brandon, FL 33511-5111 | 2016-06-08 |
| 1477971919 | Priyanka Iyer | Dentist | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2014-04-02 |
| 1285060905 | Lyda Maria Lopez | Dentist | 517 Corner Dr, Brandon, FL 33511-5718 | 2013-09-26 |
| 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.