DENTAL CLINIC
NPI 1841490612
Dentist - General Practice in Meridian, MS

Q: What is East Mississippi State Hospital's NPI number?

The NPI number for East Mississippi State Hospital is 1841490612. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is doing business as Dental Clinic.

Q: What is East Mississippi State Hospital's specialty?

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

Active since July 20, 2007

1818 COLLEGE DRIVE, REIMBURSEMENT DEPT., MERIDIAN, MS 39307(601) 581-7562(601) 581-7676 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dental Clinic NPPES

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

DENTAL CLINIC (NPI 1841490612) is a healthcare organization registered as a general practice in Meridian, Mississippi and active in the NPI registry since July 2007. The organization lists Charles Carlisle, Hospital Director, as its authorized official.

NPPES Registry Identity

NPI1841490612

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEAST MISSISSIPPI STATE HOSPITAL

Location Address1818 COLLEGE DRIVE, REIMBURSEMENT DEPT.Meridian, MS 39307-5429

Mailing AddressPo Box 4128, West StationMeridian, MS 39304-4128 · (601) 581-7562 · Fax (601) 581-7676

Phone(601) 581-7562

Fax(601) 581-7676

Organization SubpartYes

Authorized OfficialCharles CarlisleHospital Director · (601) 581-7878

Enumeration DateJuly 20, 2007

Last NPPES UpdateMay 12, 2020

NPPES CertifiedMay 12, 2020

✔ NPI 1841490612 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 · 31-136

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.

1818 COLLEGE DRIVE, Meridian, MS 39307

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Other Names 1

Doing Business AsDental Clinic

Other Identifiers 1

Medicaid09422269MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LYDIA ELLIS WEISSER D.O.

Psychiatric Hospital