THE CHILDREN'S DENTAL CENTER
NPI 1578658373
Dentist - Pediatric Dentistry in Southaven, MS

Active since October 04, 2006
2925 NAIL RD E STE 103, SOUTHAVEN, MS 38672(662) 893-7337(662) 893-7881 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About The Children's Dental Center NPPES

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

THE CHILDREN'S DENTAL CENTER (NPI 1578658373) is a healthcare organization registered as a pediatric dentistry in Southaven, Mississippi and active in the NPI registry since October 2006. The organization lists Clyde Armstrong Musgrave, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1578658373
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameNORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Location Address2925 NAIL RD E STE 103Southaven, MS 38672-6715
Mailing Address2925 Nail Rd E Ste 103Southaven, MS 38672-6715 · (662) 893-7337 · Fax (662) 893-7881
Fax(662) 893-7881
Organization SubpartNo
Authorized OfficialClyde Armstrong MusgravePediatric Dentist · (662) 893-7337
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1578658373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3136-00
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2925 NAIL RD E STE 103, Southaven, MS 38672

Other Names 1

Doing Business AsThe Children's Dental Center

Other Identifiers 1

Medicaid09016069MS

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
2925 NAIL RD E STE 103
SOUTHAVEN, MS 38672

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 North Mississippi Dental Specialists, PLLC's NPI number?

The NPI number for North Mississippi Dental Specialists, PLLC is 1578658373. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as The Children's Dental Center.

Where is North Mississippi Dental Specialists, PLLC located?

North Mississippi Dental Specialists, PLLC is located at 2925 Nail Rd E Ste 103, Southaven, MS 38672. The listed phone number is (662) 893-7337.

What is North Mississippi Dental Specialists, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does North Mississippi Dental Specialists, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list North Mississippi Dental Specialists, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Mississippi Dental Specialists, PLLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.