SIWELL ROAD DENTAL, PLLC (NPI# 1861998619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861998619 |
| Entity Type | Organization |
| Organization Name | SIWELL ROAD DENTAL, PLLC |
| Practice Address |
7278 S Siwell Rd Byram MS 39272-8703 |
| Mailing Address |
4358 Lincoln Road Ext Ste 20 Hattiesburg MS 39402-3275 |
| Practice Telephone | 6012718710 |
| Mailing Telephone | 6012718710 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | PATTY TOUPS (COO) |
| Authorized Official Telephone | 6012718710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
7278 S SIWELL RD |
| City | BYRAM |
| State | MS |
| Zip Code | 39272-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1831746338 | Gary Williams LLC | Dentist | 100 Marketplace Dr Ste B, Byram, MS 39272-8974 | 2019-08-20 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1154349967 | Norman C Underwood Jr. | Dentist | 6745 S Siwell Rd Ste 210, Byram, MS 39272-8746 | 2006-07-18 |
| 1184089476 | Dulaney Dental, Pllc | Dentist | 310 Byram Pl Ste C, Byram, MS 39272-8739 | 2015-12-31 |
| 1689896250 | Southern Family Dentistry | Dentist | 115 Bridgeton Plz, Byram, MS 39272-8711 | 2007-05-03 |
| 1306068820 | Elisha Amy Scopel | Dentist | 6771 Siwell Rd, Byram, MS 39272 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1518564210 | Reagan Mcnerney | Dentist | 275 11th Ave Sw, Magee, MS 39111-3553 | 2020-10-06 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1275157463 | Anderson Reid Bensch | Dentist | 160 Cracker Barrell Dr, Batesville, MS 38606-3031 | 2020-06-03 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1518528769 | Huey D Phillips Jr. | Dentist | 5204 Highway 51 N, Senatobia, MS 38668-1712 | 2019-06-27 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1699333690 | Andrew David Morgan | Dentist | 12 S Sixth St, Bay Springs, MS 39422-9055 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.