RESERVOIR DENTAL GROUP
NPI 1538597653
Dentist - General Practice in Brandon, MS

Q: What is Dental Professionals Of Mississippi, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 29, 2013

555 GRANTS FERRY RD, BRANDON, MS 39047(601) 992-1382 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Reservoir Dental Group NPPES

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

RESERVOIR DENTAL GROUP (NPI 1538597653) is a healthcare organization registered as a general practice in Brandon, Mississippi and active in the NPI registry since October 2013. The organization lists Kim Wilson, Cred. Supervisor, as its authorized official.

NPPES Registry Identity

NPI1538597653

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF MISSISSIPPI, P.C.

Location Address555 GRANTS FERRY RDBrandon, MS 39047-9023

Mailing Address555 Grants Ferry RdBrandon, MS 39047-9023 · (601) 992-1382

Phone(601) 992-1382

Organization SubpartYes

Authorized OfficialKim WilsonCred. Supervisor · (217) 540-5170

Enumeration DateOctober 29, 2013

✔ NPI 1538597653 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.

555 GRANTS FERRY RD, Brandon, MS 39047

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Other Names 1

Doing Business AsReservoir Dental Group

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. VICTOR H. APPLEWHITE JR. D.M.D

Dentist (General Practice)

555 GRANTS FERRY RD
BRANDON, MS 39047

Rankin County (601) 992-1371

DR. ANDREW NGOC TRAN DMD

Dentist (General Practice)

555 GRANTS FERRY RD
BRANDON, MS 39047

Rankin County (601) 992-1371

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 Dental Professionals Of Mississippi, P.C.'s NPI number?

The NPI number for Dental Professionals Of Mississippi, P.C. is 1538597653. It was assigned to this organization in the NPPES registry on October 29, 2013. The provider is doing business as Reservoir Dental Group.

Where is Dental Professionals Of Mississippi, P.C. located?

Dental Professionals Of Mississippi, P.C. is located at 555 Grants Ferry Rd, Brandon, MS 39047. The listed phone number is (601) 992-1382.

What is Dental Professionals Of Mississippi, P.C.'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 Dental Professionals Of Mississippi, P.C. was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.