Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982599056 Individual Practitioner Female Practitioner

Dr. Mary Sobiesk , DMD

Dentist - General Practice • Brandon, MS

Professional Overview & Biography Verified Profile Summary

Dr. Mary Sobiesk, DMD is a registered healthcare professional specializing in Dentist - General Practice in Brandon, MS. Practice services are available at 1075 LAKE VILLAGE CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1075 Lake Village Cir

Brandon, MS 390476743

Telephone 6019921605
Associated Practice Facility / Clinic
🏢 Grants Ferry Family Dentistry Facility NPI 1265779052

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brandon, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Brandon, MS (895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 111169

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Justin Dyre , DMD

Dentist - General Practice

NPI 1588926570

Doctor of Dental Medicine

NPI 1669810040

Doctor of Dental Surgery

Dr. Erin Green , DDS

Dentist - General Practice

NPI 1699113365

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2025

Registered at 1075 LAKE VILLAGE CIR, BRANDON, MS 390476743 (Tel: 6019921605)

📍
Updated Business Mailing Address June 10, 2025

Registered at 276 WOODSTONE DR, HATTIESBURG, MS 394027606 (Tel: 6015435048)

👤
Provider Name / Credentials Updated June 10, 2025

Recorded as MARY SOBIESK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2025

Dentist (License #111169 in MS)

🟢
Initial NPI Registration & Enumeration June 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982599056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2025
Last Update: June 10, 2025
Sole Proprietor: No

Mailing Address

276 Woodstone Dr

Hattiesburg, MS 394027606

Phone: 6015435048

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.