SOUTH DELTA DENTAL CLINIC, LLC
NPI 1902162811
Dentist - General Practice in Rolling Fork, MS

Q: What is South Delta Dental Clinic, LLC's NPI number?

The NPI number for South Delta Dental Clinic, LLC is 1902162811. It was assigned to this organization in the NPPES registry on April 4, 2012.

Q: What is South Delta Dental Clinic, LLC's specialty?

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

Active since April 04, 2012

21 S FOURTH ST, ROLLING FORK, MS 39159(662) 873-5170 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Delta Dental Clinic, Llc NPPES

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

SOUTH DELTA DENTAL CLINIC, LLC (NPI 1902162811) is a healthcare organization registered as a general practice in Rolling Fork, Mississippi and active in the NPI registry since April 2012. The organization lists Michael Murphy, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1902162811

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH DELTA DENTAL CLINIC, LLC

Location Address21 S FOURTH STRolling Fork, MS 39159-5146

Mailing Address21 S Fourth StRolling Fork, MS 39159-5146 · (662) 873-5170

Phone(662) 873-5170

Organization SubpartNo

Authorized OfficialMichael MurphyChief Operating Officer · (601) 955-7970

Enumeration DateApril 4, 2012

✔ NPI 1902162811 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 · 360411

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.

21 S FOURTH ST, Rolling Fork, MS 39159

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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.

ON CALL MEDICAL EQUIPMENT INC.

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21 S FOURTH ST
ROLLING FORK, MS 39159

Sharkey County (662) 873-9222

KINETIX MEDICAL EQUIPMENT, LLC

Durable Medical Equipment & Medical Supplies

21 S FOURTH ST
ROLLING FORK, MS 39159

Sharkey County (662) 873-9222

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 South Delta Dental Clinic, LLC's NPI number?

The NPI number for South Delta Dental Clinic, LLC is 1902162811. It was assigned to this organization in the NPPES registry on April 4, 2012.

Where is South Delta Dental Clinic, LLC located?

South Delta Dental Clinic, LLC is located at 21 S Fourth St, Rolling Fork, MS 39159. The listed phone number is (662) 873-5170.

What is South Delta Dental Clinic, LLC'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 South Delta Dental Clinic, LLC was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.