DECATUR DENTAL, LLC
NPI 1073985925
Clinic/Center - Dental in Decatur, MS

Q: What is Decatur Dental, LLC's NPI number?

The NPI number for Decatur Dental, LLC is 1073985925. It was assigned to this organization in the NPPES registry on October 30, 2015.

Q: What is Decatur Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since October 30, 2015

68 FOURTH AVE, DECATUR, MS 39327(601) 635-2340 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Decatur Dental, Llc NPPES

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

DECATUR DENTAL, LLC (NPI 1073985925) is a healthcare organization registered as a dental in Decatur, Mississippi and active in the NPI registry since October 2015. The organization lists Jim H Polles, Owner, as its authorized official.

NPPES Registry Identity

NPI1073985925

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameDECATUR DENTAL, LLC

Location Address68 FOURTH AVEDecatur, MS 39327-9713

Mailing Address1836 Crane Ridge Dr, Suite AJackson, MS 39216-4901 · (601) 362-1118 · Fax (601) 362-3113

Phone(601) 635-2340

Organization SubpartNo

Authorized OfficialJim H PollesOwner · (601) 362-1118

Enumeration DateOctober 30, 2015

✔ NPI 1073985925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in MS · 3402-06

68 FOURTH AVE, Decatur, MS 39327

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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.

STILLWATERS COUNSELING

Counselor (Mental Health)

68 FOURTH AVE
DECATUR, MS 39327

Newton County (601) 934-1497

CARRI J MYERS PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

68 FOURTH AVE
DECATUR, MS 39327

Newton County (601) 635-3006

HOPECREST MENTAL HEALTH SERVICES, LLC

Psychiatry & Neurology (Psychiatry)

68 FOURTH AVE
DECATUR, MS 39327

Newton County (601) 921-9708

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 Decatur Dental, LLC's NPI number?

The NPI number for Decatur Dental, LLC is 1073985925. It was assigned to this organization in the NPPES registry on October 30, 2015.

Where is Decatur Dental, LLC located?

Decatur Dental, LLC is located at 68 Fourth Ave, Decatur, MS 39327. The listed phone number is (601) 635-2340.

What is Decatur Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Decatur Dental, LLC was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.