FAMILY DENTAL CARE
NPI 1679063176
Clinic/Center - Dental in Indianola, MS

Active since May 10, 2018
501 PARK AVE, INDIANOLA, MS 38751(662) 887-1272 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2018, May 10, 2018 (2 updates tracked since 2018).

About Family Dental Care NPPES

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

FAMILY DENTAL CARE (NPI 1679063176) is a healthcare organization registered as a dental in Indianola, Mississippi and active in the NPI registry since May 2018. The organization lists Jodi Page, Insurance Billing, as its authorized official.

NPPES Registry Identity

NPI1679063176
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAMILY DENTAL CARE
Location Address501 PARK AVEIndianola, MS 38751
Mailing AddressPo Box 972Indianola, MS 38751-0972 · (662) 887-1272 · Fax (662) 887-6453
Organization SubpartNo
Authorized OfficialJodi PageInsurance Billing · (662) 887-1272
Enumeration DateMay 10, 2018
Last NPPES UpdateJune 20, 20182 updates tracked since enumeration
NPI 1679063176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in MS · 273893 Licensed in MS · 392117
501 PARK AVE, Indianola, MS 38751

Other Identifiers 4

Other1417048182Npi
Medicaid07535056MS
Other1477073278Npi
Medicaid00660041MS

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.

Dentist (General Practice)
501 PARK AVE
INDIANOLA, MS 38751
Dentist
501 PARK AVE
INDIANOLA, MS 38751

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 Care's NPI number?

The NPI number for Family Dental Care is 1679063176. It was assigned to this organization in the NPPES registry on May 10, 2018.

Where is Family Dental Care located?

Family Dental Care is located at 501 Park Ave, Indianola, MS 38751. The listed phone number is (662) 887-1272.

What is Family Dental Care'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 Family Dental Care was last updated on June 20, 2018. 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.