DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RESERVOIR SMILES DENTISTRY, PLLC

Active Organization

Dental Clinic · BRANDON, MS

Registration Details

NPI Number
1316458136
Provider Type
Organization
NPI Issued
Oct 19, 2017 (8.5444715421757 yrs)
Last Updated
Oct 19, 2017
License
3421 (MS)

Practice Information

Address
1149 OLD FANNIN RD STE 26
BRANDON, MS, 390479244
Browse MS providers · Browse ZIP 39047
Phone
6019927972
Fax
6019927975
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.