1. Home
  2. Directory
  3. Mississippi
  4. Byram
  5. Dentist
  6. NPI Profile

SOUTHERN FAMILY DENTISTRY
NPI 1689896250
Dentist - General Practice in Byram, MS

Active since May 03, 2007
115 BRIDGETON PLZ, BYRAM, MS 39272(601) 373-4500(601) 373-4503 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Family Dentistry NPPES

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

SOUTHERN FAMILY DENTISTRY (NPI 1689896250) is a healthcare organization registered as a general practice in Byram, Mississippi and active in the NPI registry since May 2007. The organization lists Aimee Kelly, Dentist, as its authorized official.

NPPES Registry Identity

NPI1689896250
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHERN FAMILY DENTISTRY
Location Address115 BRIDGETON PLZByram, MS 39272-8711
Mailing Address115 Bridgeton PlzByram, MS 39272-8711 · (601) 373-4500 · Fax (601) 373-4503
Phone(601) 373-4500
Fax(601) 373-4503
Organization SubpartNo
Authorized OfficialAimee KellyDentist · (601) 373-4500
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1689896250 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.
115 BRIDGETON PLZ, Byram, MS 39272
Open in Google Maps ↗

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.

LD-BYRAM, LLC
Clinic/Center (Dental)
115 BRIDGETON PLZ
BYRAM, MS 39272
Hinds County (601) 373-4500
DR. ELEANOR KAREN PRUITT DMD
Dentist (General Practice)
115 BRIDGETON PLZ
JACKSON, MS 39272
Hinds County (601) 372-2351

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 Southern Family Dentistry's NPI number?

The NPI number for Southern Family Dentistry is 1689896250. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Southern Family Dentistry located?

Southern Family Dentistry is located at 115 Bridgeton Plz, Byram, MS 39272. The listed phone number is (601) 373-4500.

What is Southern Family Dentistry'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 Southern Family Dentistry was last updated on July 21, 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.