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

Reservoir Smiles Dentistry, PLLC

Organization Dental Clinic/Center · NPI 1316458136

Reservoir Smiles Dentistry, PLLC is a Dental Clinic/Center in Brandon, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1149 Old Fannin Rd Ste 26
Brandon, MS 39047-9244
Phone: (601) 992-7972
Fax: (601) 992-7975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 3421 (MS)

Record details

NPI number1316458136
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHall Family Dentistry
Authorized official Amye Shamburger — Owner · (769) 798-3909
NPI enumeratedOctober 19, 2017
Last updated in NPPESOctober 19, 2017
Mailing address1149 Old Fannin Rd Ste 26, Brandon, MS 39047-9244

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