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Ellisville State School Dental

Dentist

SUZIE LASSITER
NPI: 1013085414Ellisville, Mississippi, 39437(601) 477-9384

About Ellisville State School Dental

Ellisville State School Dental is a healthcare organization providing Dentist services, registered under National Provider Identifier (NPI) number 1013085414. The authorized official for Ellisville State School Dental is SUZIE LASSITER.

The organization is headquartered at 1101 HIGHWAY 11 S, Ellisville, Mississippi 39437. The main office can be reached at (601) 477-9384. Ellisville State School Dental has been NPI-registered since 2006.

Locations & Contact

Primary Location

Address
1101 HIGHWAY 11 S
City
Ellisville
State
Mississippi
ZIP
39437-4443
Phone
(601) 477-9384
Fax
(601) 477-5700
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Authorized Official

Name
SUZIE LASSITER

Mailing Address

Address
1101 HIGHWAY 11 S
City
ELLISVILLE
State
MS
ZIP
394374443

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Dentist
Classification
Dentist
Taxonomy Code
122300000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Ellisville State School Dental's NPI number?
Ellisville State School Dental's National Provider Identifier (NPI) is 1013085414. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ellisville State School Dental specialize in?
Ellisville State School Dental specializes in Dentist.
Where is Ellisville State School Dental located?
Ellisville State School Dental practices at 1101 HIGHWAY 11 S, Ellisville, Mississippi 39437. You can reach them by phone at (601) 477-9384.
Does Ellisville State School Dental accept Medicare?
Based on available data, Ellisville State School Dental is not currently enrolled in the Medicare program.
Does Ellisville State School Dental offer telehealth or virtual visits?
Ellisville State School Dental does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Ellisville State School Dental holds NPI 1013085414, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.