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CENTER AVENUE DENTAL CARE, LLC
NPI 1710127311
Dentist - General Practice in Sumrall, MS

Active since February 23, 2009
90 CENTER AVE, SUMRALL, MS 39482(601) 758-3535(601) 758-9225 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center Avenue Dental Care, Llc NPPES

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

CENTER AVENUE DENTAL CARE, LLC (NPI 1710127311) is a healthcare organization registered as a general practice in Sumrall, Mississippi and active in the NPI registry since February 2009. The organization lists Roger Kyle Bass, President, as its authorized official.

NPPES Registry Identity

NPI1710127311
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCENTER AVENUE DENTAL CARE, LLC
Location Address90 CENTER AVESumrall, MS 39482-5002
Mailing Address90 Center Ave, P.o. Box 217Sumrall, MS 39482-5002 · (601) 758-3535 · Fax (601) 758-9225
Phone(601) 758-3535
Fax(601) 758-9225
Organization SubpartYesParent: Bishop & Bass, P.a.
Authorized OfficialRoger Kyle BassPresident · (601) 765-4355
Enumeration DateFebruary 23, 2009
✔ NPI 1710127311 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 · 3287
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.
90 CENTER AVE, Sumrall, MS 39482
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Other Identifiers 2

Medicaid01751273MS
Medicaid02880272MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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. SHERRY NICHOLE RACEY D.M.D.
Dentist (General Practice)
90 CENTER AVE
SUMRALL, MS 39482
Lamar County (601) 758-3535
DR. BAILEY RENE DAVIS DMD
Dentist (General Practice)
90 CENTER AVE
SUMRALL, MS 39482
Lamar County (601) 758-3535

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 Center Avenue Dental Care, LLC's NPI number?

The NPI number for Center Avenue Dental Care, LLC is 1710127311. It was assigned to this organization in the NPPES registry on February 23, 2009.

Where is Center Avenue Dental Care, LLC located?

Center Avenue Dental Care, LLC is located at 90 Center Ave, Sumrall, MS 39482. The listed phone number is (601) 758-3535.

What is Center Avenue Dental Care, LLC's specialty?

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

What insurance does Center Avenue Dental Care, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Center Avenue Dental Care, LLC 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 Center Avenue Dental Care, LLC was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.