POPLARVILLE DENTAL CLINIC
NPI 1306142674
Clinic/Center - Dental in Poplarville, MS

Active since February 04, 2011
1718 SOUTH MAIN STREET, POPLARVILLE, MS 39470(601) 795-8024(601) 795-0745 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poplarville Dental Clinic NPPES

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

POPLARVILLE DENTAL CLINIC (NPI 1306142674) is a healthcare organization registered as a dental in Poplarville, Mississippi and active in the NPI registry since February 2011. The organization lists Dustin Gabriel Smith, Dentist, as its authorized official.

NPPES Registry Identity

NPI1306142674
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePOPLARVILLE DENTAL CLINIC
Location Address1718 SOUTH MAIN STREETPoplarville, MS 39470-4287
Mailing Address1718 S Main St, Mailing P O Box 73Poplarville, MS 39470-4287 · (601) 795-8024 · Fax (601) 795-0745
Fax(601) 795-0745
Organization SubpartNo
Authorized OfficialDustin Gabriel SmithDentist · (601) 795-8024
Enumeration DateFebruary 4, 2011
NPI 1306142674 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 · 3142-00
1718 SOUTH MAIN STREET, Poplarville, MS 39470

Other Identifiers 1

Medicaid00660344MS

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 Poplarville Dental Clinic's NPI number?

The NPI number for Poplarville Dental Clinic is 1306142674. It was assigned to this organization in the NPPES registry on February 4, 2011.

Where is Poplarville Dental Clinic located?

Poplarville Dental Clinic is located at 1718 South Main Street, Poplarville, MS 39470. The listed phone number is (601) 795-8024.

What is Poplarville Dental Clinic'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 Poplarville Dental Clinic was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.