LEXINGTON DENTAL, PLLC (NPI# 1821614959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821614959 |
Entity Type | Organization |
Organization Name | LEXINGTON DENTAL, PLLC |
Practice Address |
302 Court Sq Lexington MS 39095-3630 |
Mailing Address |
4358 Lincoln Road Ext Ste 20 Hattiesburg MS 39402-3275 |
Practice Telephone | 6628349899 |
Mailing Telephone | 6012718710 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Authorized Official Name | LANTHEA MANGUM (COO) |
Authorized Official Telephone | 6012718710 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
302 COURT SQ |
City | LEXINGTON |
State | MS |
Zip Code | 39095-3630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730591983 | Dustin Pambianchi | Dentist | 302 Court Sq, Lexington, MS 39095-3630 | 2014-05-22 |
1780114025 | Skyler Edward Myers | Dentist | 302 Court Sq, Lexington, MS 39095-3630 | 2017-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
Find all providers in zip 39095 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942810882 | Lexington Smiles, Pllc | Clinic/Center | 123 S Randolph St, Lexington, VA 24450-2065 | 2020-08-05 |
1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
1821248162 | Dental Services of Kentucky, Psc | Clinic/Center | 2358 Nicholasville Rd, #156, Lexington, KY 40503-3032 | 2008-09-23 |
1831798222 | Advanced Dental Care of Lexington LLC | Clinic/Center | 948 Old Cherokee Rd, Lexington, SC 29072-8123 | 2020-10-19 |
1376164954 | Arrow Dental Pllc | Clinic/Center | 2517 Sir Barton Way Ste 200, Lexington, KY 40509-2744 | 2020-05-05 |
1902427750 | Arrow Dental Pllc | Clinic/Center | 216 Fountain Ct, Lexington, KY 40509-2511 | 2020-05-04 |
1720628886 | Justice Dental Wellington | Clinic/Center | 535 Wellington Way Ste 120, Lexington, KY 40503-1387 | 2020-01-07 |
1487291183 | Slone Dental Arts Pllc | Clinic/Center | 4383 Old Harrodsburg Rd, Lexington, KY 40513-8012 | 2019-12-02 |
Find all providers in LEXINGTON |
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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.