OAKDALE FAMILY DENTISTRY – NPI #1356851752
Clinic/Center

OAKDALE FAMILY DENTISTRY is an AHC clinic located in FLOWOOD, MS. NPPES has assigned the NPI number 1356851752 to OAKDALE FAMILY DENTISTRY on October 11, 2017. 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 6 years ago on Feb 12, 2020. 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 OAKDALE FAMILY DENTISTRY below.

NPI Profile for
OAKDALE FAMILY DENTISTRY

NPI Number
1356851752
Enumeration Date

(more than 8 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
OAKDALE FAMILY DENTISTRY
Primary location
2139 HWY 471
FLOWOOD, MS 39232
Phone: (601) 936-3430 Fax:
Mailing address
3738 FLOWOOD DR
FLOWOOD, MS 39232-9055
Phone: (601) 936-3430 Fax: (601) 936-3431
Organization Subpart
No
Authorized Official
CARLA RUSHING
DENTIST/OWNER
Phone: (601) 941-5319
Updated
Certification Date
Feb 12, 2020

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.

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.