HERNANDO DENTAL GROUP INCORPORATED
NPI 1871831552
Dentist - General Practice in Hernando, MS
- Organization
- Dentist
- General Practice
- Accepts Insurance
- CLIA Number: 25D2284907
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 06-28-2027
About HERNANDO DENTAL GROUP INCORPORATED
This page provides the complete NPI Profile along with additional information for Hernando Dental Group Incorporated, a provider established in Hernando, Mississippi operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1871831552 assigned on January 2013. The practitioner's primary taxonomy code is 1223G0001X with license number 3018-97 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Amy R Wadsworth Dds (Partner)
- NPI
- 1871831552 Verify this NPI
- Provider Name
- HERNANDO DENTAL GROUP INCORPORATED
- Entity Type
- Organization
- Location Address
- 2264 MCINGVALE RD. HERNANDO, MS 38632
- Location Phone
- (662) 429-6736
- Location Fax
- (662) 429-6752
- Mailing Address
- 2264 MCINGVALE RD HERNANDO, MS 38632
- Mailing Phone
- (662) 429-6736
- Mailing Fax
- (662) 429-6752
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-30-2013
- Last Update Date
- 01-30-2013
- Code Navigator
A dentist like Hernando Dental Group Incorporated is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 3018-97
- License State
- MS
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2284907
- Facility Type
- Practitioner Other
- Certificate Effective Date
- June 29, 2025
- Certificate Expiration Date
- June 28, 2027
- Laboratory Director
- ETHAN T. SMITHERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hernando Dental Group Incorporated to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871831552, enumerated as an "organization" on January 30, 2013.
The provider is located at 2264 MCINGVALE RD. HERNANDO, MS 38632 and the phone number is (662) 429-6736.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
