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RESERVOIR SMILES DENTISTRY, PLLC
NPI 1316458136
Clinic/Center - Dental in Brandon, MS

Active since October 19, 2017
1149 OLD FANNIN RD STE 26, BRANDON, MS 39047(601) 992-7972(601) 992-7975 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reservoir Smiles Dentistry, Pllc NPPES

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

RESERVOIR SMILES DENTISTRY, PLLC (NPI 1316458136) is a healthcare organization registered as a dental in Brandon, Mississippi and active in the NPI registry since October 2017. The organization lists Amye Lee Shamburger, Owner, as its authorized official.

NPPES Registry Identity

NPI1316458136
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRESERVOIR SMILES DENTISTRY, PLLC
Location Address1149 OLD FANNIN RD STE 26Brandon, MS 39047-9244
Mailing Address1149 Old Fannin Rd Ste 26Brandon, MS 39047-9244 · (601) 992-7972 · Fax (601) 992-7975
Phone(601) 992-7972
Fax(601) 992-7975
Organization SubpartYesParent: Hall Family Dentistry
Authorized OfficialAmye Lee ShamburgerOwner · (769) 798-3909
Enumeration DateOctober 19, 2017
✔ NPI 1316458136 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 · 3421
1149 OLD FANNIN RD STE 26, Brandon, MS 39047
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Other Identifiers 1

Other1376725754MS · Dr. Amye L Shamburger

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 Reservoir Smiles Dentistry, PLLC's NPI number?

The NPI number for Reservoir Smiles Dentistry, PLLC is 1316458136. It was assigned to this organization in the NPPES registry on October 19, 2017.

Where is Reservoir Smiles Dentistry, PLLC located?

Reservoir Smiles Dentistry, PLLC is located at 1149 Old Fannin Rd Ste 26, Brandon, MS 39047. The listed phone number is (601) 992-7972.

What is Reservoir Smiles Dentistry, PLLC'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 Reservoir Smiles Dentistry, PLLC was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.