CATHERINE JOHNSON MINCY, DDS
NPI 1790801298
Dentist - General Practice in Booneville, MS

Active since March 22, 2007
607 W CHURCH ST, BOONEVILLE, MS 38829(662) 728-8133(662) 728-6903 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Catherine Johnson Mincy, Dds NPPES

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

CATHERINE JOHNSON MINCY, DDS (NPI 1790801298) is a healthcare organization registered as a general practice in Booneville, Mississippi and active in the NPI registry since March 2007. The organization lists Catherine Johnson Mincy, Owner, as its authorized official.

NPPES Registry Identity

NPI1790801298
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCATHERINE JOHNSON MINCY, DDS
Location Address607 W CHURCH STBooneville, MS 38829-2647
Mailing Address607 W Church StBooneville, MS 38829-2647 · (662) 728-8133 · Fax (662) 728-6903
Fax(662) 728-6903
Organization SubpartNo
Authorized OfficialCatherine Johnson MincyOwner · (662) 728-8133
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1790801298 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 · 3009-97
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.

607 W CHURCH ST, Booneville, MS 38829

Other Names 1

Former Legal Business NameCatherine Johnson Mincy, Dds

Other Identifiers 1

Medicaid00660215MS

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.

Dentist (General Practice)
607 W CHURCH ST
BOONEVILLE, MS 38829
Dentist (General Practice)
607 W CHURCH ST
BOONEVILLE, MS 38829

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 Catherine Johnson Mincy, Dds's NPI number?

The NPI number for Catherine Johnson Mincy, Dds is 1790801298. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Catherine Johnson Mincy, Dds located?

Catherine Johnson Mincy, Dds is located at 607 W Church St, Booneville, MS 38829. The listed phone number is (662) 728-8133.

What is Catherine Johnson Mincy, Dds'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 Catherine Johnson Mincy, Dds was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.