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RALEIGH DENTAL CLINIC
NPI 1679660492
Dentist - General Practice in Raleigh, MS

Active since October 05, 2006
207 SYLVARENA AVE, RALEIGH, MS 39153(601) 782-9206 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raleigh Dental Clinic NPPES

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

RALEIGH DENTAL CLINIC (NPI 1679660492) is a healthcare organization registered as a general practice in Raleigh, Mississippi and active in the NPI registry since October 2006. The organization lists Bobby D Maddox, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1679660492
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRALEIGH DENTAL CLINIC
Location Address207 SYLVARENA AVERaleigh, MS 39153
Mailing AddressPo Box 595Raleigh, MS 39153-0595 · (601) 782-9206
Phone(601) 782-9206
Organization SubpartNo
Authorized OfficialBobby D MaddoxDentist/owner · (601) 782-9206
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679660492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 1219-66
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.
207 SYLVARENA AVE, Raleigh, MS 39153
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Other Identifiers 1

Medicaid09015677MS

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

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 Raleigh Dental Clinic's NPI number?

The NPI number for Raleigh Dental Clinic is 1679660492. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Raleigh Dental Clinic located?

Raleigh Dental Clinic is located at 207 Sylvarena Ave, Raleigh, MS 39153. The listed phone number is (601) 782-9206.

What is Raleigh Dental Clinic'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 Raleigh Dental Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.