Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Booneville General Dentistry, PA

Organization General Practice Dentistry · NPI 1881073716

Booneville General Dentistry, PA provides General Practice Dentistry in Booneville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.

Licensed in
MS
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

507 E Church St
Booneville, MS 38829-3709 Not confirmed with CMS for 11 years — call before visiting
Phone: (662) 728-2123
Fax: (662) 728-1748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3645 12 (MS)

Record details

NPI number1881073716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Hall — Pres · (662) 728-2123
NPI enumeratedMay 26, 2015
Last updated in NPPESMay 26, 2015
Mailing address507 E Church St, Booneville, MS 38829-3709

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