Humphreys Family Dental, Llc

LBN: Humphreys Family Dental, Llc
Humphreys Family Dental, Llc is an health care organization with primary practice located at 16 Office Park Dr Suite 1, Hattiesburg MS 39402-6020. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Humphreys Family Dental, Llc can be contacted via phone (601) 450-3368, or through Humphreys, Michael C. via phone (601) 450-3368.

Contact Information

Primary practice address
16 Office Park Dr Suite 1 Hattiesburg MS 39402-6020
Phone: (601) 450-3368
Fax: (601) 450-3370
Website:
Map and Directions
Authorized official contact:
Name: Humphreys, Michael C. Doctor of Dental Medicine (DMD)
Phone: (601) 450-3368

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3329-05 Mississippi

Profile Details

NPI number 1265615181
LBN Legal business name Humphreys Family Dental, Llc
DBA Doing business as
Authorized official Humphreys, Michael C. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265615181 NPPES
Mississippi MEDICAID 08902788

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