FDC OF LAUREL LLC
NPI 1124599105
Dentist - General Practice in Laurel, MS

Active since December 17, 2018
1532 W 15TH ST, LAUREL, MS 39440(601) 428-0082 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fdc Of Laurel Llc NPPES

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

FDC OF LAUREL LLC (NPI 1124599105), doing business as Family Dental Center Of Laurel, is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since December 2018. The organization lists Shelley S. Taylor, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1124599105
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFDC OF LAUREL LLC
Location Address1532 W 15TH STLaurel, MS 39440-2102
Mailing AddressPo Box 6505Laurel, MS 39441-6505 · (601) 428-0082
Organization SubpartNo
Authorized OfficialShelley S. TaylorOwner/dentist · (601) 428-0082
Enumeration DateDecember 17, 2018
NPI 1124599105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1532 W 15TH ST, Laurel, MS 39440

Other Names 1

Doing Business AsFamily Dental Center Of Laurel

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 5

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

Dentist (General Practice)
1532 W 15TH ST
LAUREL, MS 39440
Dentist (General Practice)
1532 W 15TH ST
LAUREL, MS 39440
Dentist (General Practice)
1532 W 15TH ST
LAUREL, MS 39440
Dentist (General Practice)
1532 W 15TH ST
LAUREL, MS 39440
Dentist (General Practice)
1532 W 15TH ST
LAUREL, MS 39440

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 Fdc Of Laurel LLC's NPI number?

The NPI number for Fdc Of Laurel LLC is 1124599105. It was assigned to this organization in the NPPES registry on December 17, 2018. The provider is doing business as Family Dental Center of Laurel.

Where is Fdc Of Laurel LLC located?

Fdc Of Laurel LLC is located at 1532 W 15th St, Laurel, MS 39440. The listed phone number is (601) 428-0082.

What is Fdc Of Laurel LLC'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 Fdc Of Laurel LLC was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.