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LIFETIME DENTAL PLLC
NPI 1053573725
Dentist - General Practice in Cleveland, MS

Active since June 25, 2008
1313 W HIGHWAY 8, CLEVELAND, MS 38732(662) 843-8353(662) 843-8363 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Dental Pllc NPPES

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

LIFETIME DENTAL PLLC (NPI 1053573725), doing business as Johnson Dental Clinic, is a healthcare organization registered as a general practice in Cleveland, Mississippi and active in the NPI registry since June 2008. The organization lists Hamilton M Brown, Partner, as its authorized official.

NPPES Registry Identity

NPI1053573725
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL PLLC
Location Address1313 W HIGHWAY 8Cleveland, MS 38732-2240
Mailing Address1313 W Highway 8Cleveland, MS 38732-2240 · (662) 843-8353 · Fax (662) 843-8363
Phone(662) 843-8353
Fax(662) 843-8363
Organization SubpartNo
Authorized OfficialHamilton M BrownPartner · (662) 843-8353
Enumeration DateJune 25, 2008
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1053573725 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 · 2826-94
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.
1313 W HIGHWAY 8, Cleveland, MS 38732
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Other Names 1

Former Legal Business NameJohnson Dental Clinic

Other Identifiers 1

Medicaid09015931MS

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

Other Providers at the Same Location NPPES 3

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

DR. HAMILTON BROWN D.M.D.
Dentist
1313 W HIGHWAY 8
CLEVELAND, MS 38732
Bolivar County (662) 843-8353
DR. DARYL LANCE JOHNSON D.M.D.
Dentist (General Practice)
1313 W HIGHWAY 8
CLEVELAND, MS 38732
Bolivar County (662) 843-8353
ALEXANDER LOU SHING DMD
Dentist
1313 W HIGHWAY 8
CLEVELAND, MS 38732
Bolivar County (662) 843-8353

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 Lifetime Dental PLLC's NPI number?

The NPI number for Lifetime Dental PLLC is 1053573725. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider was formerly known as Johnson Dental Clinic.

Where is Lifetime Dental PLLC located?

Lifetime Dental PLLC is located at 1313 W Highway 8, Cleveland, MS 38732. The listed phone number is (662) 843-8353.

What is Lifetime Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lifetime Dental PLLC was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.