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ELLISVILLE FAMILY DENTAL CENTER PA
NPI 1033269840
Dentist - General Practice in Ellisville, MS

Active since January 12, 2007
401 HIGHWAY 11 S, ELLISVILLE, MS 39437(601) 477-3771 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellisville Family Dental Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLISVILLE FAMILY DENTAL CENTER PA (NPI 1033269840) is a healthcare organization registered as a general practice in Ellisville, Mississippi and active in the NPI registry since January 2007. The organization lists Stephen L Surber, Owner, as its authorized official.

NPPES Registry Identity

NPI1033269840
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELLISVILLE FAMILY DENTAL CENTER PA
Location Address401 HIGHWAY 11 SEllisville, MS 39437-3103
Mailing Address401 Highway 11 SEllisville, MS 39437-3103 · (601) 477-3771
Phone(601) 477-3771
Organization SubpartNo
Authorized OfficialStephen L SurberOwner · (601) 477-3771
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 31, 2016
✔ NPI 1033269840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 2366-87
Definition
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.
401 HIGHWAY 11 S, Ellisville, MS 39437
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN L SURBER DMD
Dentist (General Practice)
401 HIGHWAY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-3771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellisville Family Dental Center PA's NPI number?

The NPI number for Ellisville Family Dental Center PA is 1033269840. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Ellisville Family Dental Center PA located?

Ellisville Family Dental Center PA is located at 401 Highway 11 S, Ellisville, MS 39437. The listed phone number is (601) 477-3771.

What is Ellisville Family Dental Center PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ellisville Family Dental Center PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Ellisville Family Dental Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellisville Family Dental Center PA was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.