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PETAL FAMILY DENTISTRY
NPI 1972908622
Dentist - General Practice in Petal, MS

Active since October 23, 2014
139 S MAIN ST, PETAL, MS 39465(601) 584-9481(601) 544-5161 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petal Family Dentistry NPPES

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

PETAL FAMILY DENTISTRY (NPI 1972908622) is a healthcare organization registered as a general practice in Petal, Mississippi and active in the NPI registry since October 2014. The organization lists Charles J Harrell, Partner/dentist, as its authorized official.

NPPES Registry Identity

NPI1972908622
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETAL FAMILY DENTISTRY
Location Address139 S MAIN STPetal, MS 39465-2331
Mailing Address139 S Main StPetal, MS 39465-2331 · (601) 584-9481 · Fax (601) 544-5161
Phone(601) 584-9481
Fax(601) 544-5161
Organization SubpartNo
Authorized OfficialCharles J HarrellPartner/dentist · (601) 584-9481
Enumeration DateOctober 23, 2014
✔ NPI 1972908622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
139 S MAIN ST, Petal, MS 39465
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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.

DR. CHARLES J. HARRELL JR. D.M.D.
Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465
Forrest County (601) 584-9481
DR. BOBBY GLENN BRASWELL JR. DDS
Dentist (General Practice)
139 S MAIN ST
PETAL, MS 39465
Forrest County (601) 584-9481

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 Petal Family Dentistry's NPI number?

The NPI number for Petal Family Dentistry is 1972908622. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Petal Family Dentistry located?

Petal Family Dentistry is located at 139 S Main St, Petal, MS 39465. The listed phone number is (601) 584-9481.

What is Petal Family Dentistry'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 Petal Family Dentistry was last updated on October 23, 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.