MS PERIODONTIC SPECIALISTS GROUP, PLLC
NPI 1851640437
Dentist - Periodontics in Flowood, MS

Active since August 29, 2012
209 WOODLINE DR., FLOWOOD, MS 39232(601) 664-2600(601) 664-2650 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms Periodontic Specialists Group, Pllc NPPES

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

MS PERIODONTIC SPECIALISTS GROUP, PLLC (NPI 1851640437) is a healthcare organization registered as a periodontics in Flowood, Mississippi and active in the NPI registry since August 2012. The organization lists Samuel Reid Lester, Owner, as its authorized official.

NPPES Registry Identity

NPI1851640437
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMS PERIODONTIC SPECIALISTS GROUP, PLLC
Location Address209 WOODLINE DR.Flowood, MS 39232
Mailing Address209 Woodline Dr.Flowood, MS 39232 · (601) 664-2600 · Fax (601) 664-2650
Fax(601) 664-2650
Organization SubpartNo
Authorized OfficialSamuel Reid LesterOwner · (601) 664-2600
Enumeration DateAugust 29, 2012
Last NPPES UpdateAugust 12, 2014
NPI 1851640437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in MS · 45012
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
209 WOODLINE DR., Flowood, MS 39232

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 Ms Periodontic Specialists Group, PLLC's NPI number?

The NPI number for Ms Periodontic Specialists Group, PLLC is 1851640437. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Ms Periodontic Specialists Group, PLLC located?

Ms Periodontic Specialists Group, PLLC is located at 209 Woodline Dr., Flowood, MS 39232. The listed phone number is (601) 664-2600.

What is Ms Periodontic Specialists Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Ms Periodontic Specialists Group, PLLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.