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CRYSTAL SPRINGS DENTAL CENTER, LLC
NPI 1023386372
Clinic/Center - Dental in Crystal Springs, MS

Active since December 01, 2011
304 HARMONY RD, CRYSTAL SPRINGS, MS 39059(901) 282-5706 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About CRYSTAL SPRINGS DENTAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Crystal Springs Dental Center, Llc, a provider established in Crystal Springs, Mississippi operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1023386372 assigned on December 2011. The practitioner's primary taxonomy code is 261QD0000X with license number 3439-07 (MS). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Terrance L Ware Dds (Owner/operator)

NPI
1023386372 Verify this NPI
Provider Name
CRYSTAL SPRINGS DENTAL CENTER, LLC
Entity Type
Organization
Location Address
304 HARMONY RD CRYSTAL SPRINGS, MS 39059
Location Phone
(901) 282-5706
Mailing Address
304 HARMONY RD CRYSTAL SPRINGS, MS 39059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2011
Last Update Date
12-06-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
3439-07
License State
MS

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TERRANCE L WARE DDS

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(901) 282-5706

Reviews for CRYSTAL SPRINGS DENTAL CENTER, LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. TERRANCE LEMOND WARE D.D.S.
Dentist (General Practice)
304 HARMONY RD
CRYSTAL SPRINGS, MS 39059
Copiah County (601) 892-1904

Frequently Asked Questions

What is CRYSTAL SPRINGS DENTAL CENTER, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1023386372, enumerated as an "organization" on December 01, 2011.

Where is the provider located?

The provider is located at 304 HARMONY RD CRYSTAL SPRINGS, MS 39059 and the phone number is (901) 282-5706.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.