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Active NPI 1366603003 Individual Practitioner Male Practitioner

Dr. Philip Adam Middleton , DMD

Dentist - General Practice • Kosciusko, MS

Professional Overview & Biography Verified Profile Summary

Dr. Philip Middleton, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kosciusko, MS. Practice services are available at 101 RIDGEWOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Ridgewood Cir

Kosciusko, MS 390903265

Telephone 6622897076
Fax 6622897050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kosciusko, MS

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

Practicing in Kosciusko, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 347008

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

2 Associated Practitioners
NPI 1093919839

Doctor of Dental Medicine

Dr. Donald Weaver , DMD

Dentist - General Practice

NPI 1841383601

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2011

Registered at 101 RIDGEWOOD CIR, KOSCIUSKO, MS 390903265 (Tel: 6622897076)

📍
Updated Business Mailing Address January 03, 2011

Registered at 1302 E SOUTH ST, KOSCIUSKO, MS 390904734 (Tel: 6622316911)

👤
Provider Name / Credentials Updated January 03, 2011

Recorded as PHILIP MIDDLETON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2011

Dentist (License #347008 in MS)

🟢
Initial NPI Registration & Enumeration June 24, 2008

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: 1366603003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2008
Last Update: January 03, 2011
Sole Proprietor: No

Mailing Address

1302 E South St

Kosciusko, MS 390904734

Phone: 6622316911

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.