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BOONEVILLE GENERAL DENTISTRY, P.A.
NPI 1881073716
Dentist - General Practice in Booneville, MS

Active since May 26, 2015
507 E CHURCH ST, BOONEVILLE, MS 38829(662) 728-2123(662) 728-1748 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Booneville General Dentistry, P.a. NPPES

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

BOONEVILLE GENERAL DENTISTRY, P.A. (NPI 1881073716) is a healthcare organization registered as a general practice in Booneville, Mississippi and active in the NPI registry since May 2015. The organization lists Samuel Robert Hall, Pres, as its authorized official.

NPPES Registry Identity

NPI1881073716
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOONEVILLE GENERAL DENTISTRY, P.A.
Location Address507 E CHURCH STBooneville, MS 38829-3709
Mailing Address507 E Church StBooneville, MS 38829-3709 · (662) 728-2123 · Fax (662) 728-1748
Phone(662) 728-2123
Fax(662) 728-1748
Organization SubpartNo
Authorized OfficialSamuel Robert HallPres · (662) 728-2123
Enumeration DateMay 26, 2015
✔ NPI 1881073716 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 · 3645 12
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.
507 E CHURCH ST, Booneville, MS 38829
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Other Identifiers 1

Medicaid09234892MS

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.

DR. JEFF JOHNSON D.M.D.
Dentist (General Practice)
507 E CHURCH ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-2123
DR. AUSTIN BROCK PARRIS DDS
Dentist
507 E CHURCH ST
BOONEVILLE, MS 38829
Prentiss County (662) 728-2123

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 Booneville General Dentistry, P.A.'s NPI number?

The NPI number for Booneville General Dentistry, P.A. is 1881073716. It was assigned to this organization in the NPPES registry on May 26, 2015.

Where is Booneville General Dentistry, P.A. located?

Booneville General Dentistry, P.A. is located at 507 E Church St, Booneville, MS 38829. The listed phone number is (662) 728-2123.

What is Booneville General Dentistry, P.A.'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 Booneville General Dentistry, P.A. was last updated on May 26, 2015. 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.