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BIG RIVER DENTAL PLLC
NPI 1194262709
Dentist - General Practice in Brandon, MS

Active since January 21, 2017
103 CHRISTIAN DR, BRANDON, MS 39042(601) 825-1172(601) 825-1185 Get Directions Write a Review

NPPES record last updated: January 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Big River Dental Pllc NPPES

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

BIG RIVER DENTAL PLLC (NPI 1194262709), doing business as Magnolia Dental Pllc, is a healthcare organization registered as a general practice in Brandon, Mississippi and active in the NPI registry since January 2017. The organization lists William Percy Dickey, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1194262709
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBIG RIVER DENTAL PLLC
Location Address103 CHRISTIAN DRBrandon, MS 39042-2762
Mailing Address103 Christian DrBrandon, MS 39042-2762 · (601) 825-1172 · Fax (601) 825-1185
Phone(601) 825-1172
Fax(601) 825-1185
Organization SubpartNo
Authorized OfficialWilliam Percy DickeyOwner/partner · (601) 597-3490
Enumeration DateJanuary 21, 2017
✔ NPI 1194262709 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 · 3125-00
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.
103 CHRISTIAN DR, Brandon, MS 39042
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Other Names 1

Former Legal Business NameMagnolia Dental Pllc

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 2

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

BRIAN E JOHNSTON DMD PA
Dentist (General Practice)
103 CHRISTIAN DR, SUITE B
BRANDON, MS 39042
Rankin County (601) 825-1172
BRIAN E. JOHNSTON
Dentist
103 CHRISTIAN DR, SUITE B
BRANDON, MS 39042
Rankin County (601) 825-1172

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 Big River Dental PLLC's NPI number?

The NPI number for Big River Dental PLLC is 1194262709. It was assigned to this organization in the NPPES registry on January 21, 2017. The provider was formerly known as Magnolia Dental PLLC.

Where is Big River Dental PLLC located?

Big River Dental PLLC is located at 103 Christian Dr, Brandon, MS 39042. The listed phone number is (601) 825-1172.

What is Big River 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 Big River Dental PLLC was last updated on January 21, 2017. 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.