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

Booneville General Dentistry, PA

Organization General Practice Dentistry · NPI 1881073716

Booneville General Dentistry, PA is a 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.

See every abbreviation used in this directory →

Practice location Address checks out

507 E Church St
Booneville, MS 38829-3709
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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