National Provider Identifier Database

SARDIS FAMILY DENTAL CARE LLC
Dental


Contact Information

SARDIS FAMILY DENTAL CARE, LLC
207 S POCAHONTAS STREET
SARDIS, MS38666
Phone: 601-790-1709
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for SARDIS FAMILY DENTAL CARE, LLC

NPI Number 1356049126
Legal business name
LBN
SARDIS FAMILY DENTAL CARE, LLC
Authorized official SAMANTHA ALLEN - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 02/21/2023
Last updated 02/22/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Other: 1350584 MISSISSIPPI SECRETARY OF STATE BUSINESS ID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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