ARCHUSA FAMILY DENTISTRY; NPI #1083295844

Contact Information

ARCHUSA FAMILY DENTISTRY

99 HIGHWAY 511
QUITMAN, MS 39355-8899

Phone: 601-776-3700
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	1223G0001X

Indicates primary specialty

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NPI Profile & details for ARCHUSA FAMILY DENTISTRY

NPI Number 1083295844

LBN Legal business name ARCHUSA FAMILY DENTISTRY

Authorized official REAGAN MCNERNEY - (OWNER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 04/14/2021

Last updated 07/09/2021 - About 5 years ago

Identifiers

Medicaid

1518564210

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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