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Contact Information

ASSOCIATED DENTAL OF RIDGELAND, PLLC
733 LAKE HARBOUR DR STE G
RIDGELAND, MS39157-4304
 Phone: 601-856-4888
 Fax: 601-856-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ASSOCIATED DENTAL OF RIDGELAND, PLLC

NPI Number 1265685606
LBN Legal business name ASSOCIATED DENTAL OF RIDGELAND, PLLC
Authorized official TERESA TRUSTY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2008
Last updated 10/29/2008 - About 18 years ago
Identifiers
MS License # 3214
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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