SARDIS FAMILY DENTAL CARE, LLC – NPI #1356049126
Clinic/Center

SARDIS FAMILY DENTAL CARE, LLC is an AHC clinic located in SARDIS, MS. NPPES has assigned the NPI number 1356049126 to SARDIS FAMILY DENTAL CARE, LLC on February 21, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 3 years ago on Feb 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SARDIS FAMILY DENTAL CARE, LLC below.

NPI Profile for
SARDIS FAMILY DENTAL CARE, LLC

NPI Number
1356049126
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SARDIS FAMILY DENTAL CARE, LLC
Primary location
207 S POCAHONTAS STREET
SARDIS, MS 38666
Phone: (601) 790-1709 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMANTHA ALLEN
DENTIST
Phone: (601) 790-1709
Updated
Certification Date
Feb 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SARDIS FAMILY DENTAL CARE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMISSISSIPPI SECRETARY OF STATE BUSINESS IDMS1350584
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.