Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Autumn Ridge Dental Partnership

Organization General Practice Dentistry · NPI 1275750531

Autumn Ridge Dental Partnership is a General Practice Dentistry in Kosciusko, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

101 Ridgewood Cir
Kosciusko, MS 39090-3265
Phone: (662) 289-7076
Fax: (662) 289-7050
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 1686-75 (MS)

Record details

NPI number1275750531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Weaver — Partner · (662) 289-7076
NPI enumeratedApril 19, 2007
Last updated in NPPESJanuary 3, 2011
Mailing address101 Ridgewood Cir, Kosciusko, MS 39090-3265

Other providers in Kosciusko