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FAMILY DENTAL ASSOCIATES PLLC
NPI 1205986809
Dentist - General Practice in Greenwood, MS

Active since January 12, 2007
702 HIGHWAY 82 W STE A, GREENWOOD, MS 38930(662) 453-5536(662) 453-2324 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Dental Associates Pllc NPPES

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

FAMILY DENTAL ASSOCIATES PLLC (NPI 1205986809) is a healthcare organization registered as a general practice in Greenwood, Mississippi and active in the NPI registry since January 2007. The organization lists Perry M Whites, Share Holder, as its authorized official.

NPPES Registry Identity

NPI1205986809
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTAL ASSOCIATES PLLC
Location Address702 HIGHWAY 82 W STE AGreenwood, MS 38930-5069
Mailing Address702 Highway 82 W Ste AGreenwood, MS 38930-5069 · (662) 453-5536 · Fax (662) 453-2324
Phone(662) 453-5536
Fax(662) 453-2324
Organization SubpartNo
Authorized OfficialPerry M WhitesShare Holder · (662) 453-5536
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205986809 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 · 230286
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.
702 HIGHWAY 82 W STE A, Greenwood, MS 38930
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Other Identifiers 3

Medicaid00884251MS
Medicaid00060236MS
Medicaid01255511MS

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.

DR. PERRY M WHITES D.M.D.
Dentist
702 HIGHWAY 82 W STE A
GREENWOOD, MS 38930
Leflore County (662) 453-5536
DR. ADAM W HODGES D.M.D.
Dentist
702 HIGHWAY 82 W STE A
GREENWOOD, MS 38930
Leflore County (662) 453-5536

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 Family Dental Associates PLLC's NPI number?

The NPI number for Family Dental Associates PLLC is 1205986809. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Family Dental Associates PLLC located?

Family Dental Associates PLLC is located at 702 Highway 82 W Ste A, Greenwood, MS 38930. The listed phone number is (662) 453-5536.

What is Family Dental Associates 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 Family Dental Associates PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.