New Augusta Dental

LBN: Leslie Wells Dmd, Pllc
New Augusta Dental is an health care organization with primary practice located at 203 Pine Street West , New Augusta MS 39462-0411. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Leslie Wells Dmd, Pllc can be contacted via phone (601) 964-8400, or through Wells, Leslie Rae via phone (601) 964-8400.

Contact Information

Primary practice address
203 Pine Street West New Augusta MS 39462-0411
Phone: (601) 964-8400
Fax: (601) 964-8400
Website:
Map and Directions
Authorized official contact:
Name: Wells, Leslie Rae Doctor of Dental Medicine (DMD)
Phone: (601) 964-8400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 343207 Mississippi

Profile Details

NPI number 1225369705
LBN Legal business name Leslie Wells Dmd, Pllc
DBA Doing business as New Augusta Dental
Authorized official Wells, Leslie Rae Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2010
Last updated Jan 22nd, 2010 - about 14 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 1225369705 NPPES
Mississippi MEDICAID 05838340

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