OrganizationActive
Ellisville State School Dental
NPI 1013085414 · Dentist · Ellisville, MS
Ellisville State School Dental is a Dentist organization in Ellisville, MS (NPI 1013085414).
Provider details
- NPI number
- 1013085414
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Suzie Lassiter, Director of Facility(601) 477-9384
- License
- 09013809 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 Highway 11 S
Ellisville, MS 39437-4443
Phone: (601) 477-9384
Fax: (601) 477-5700
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Highway 11 S
Ellisville, MS 39437-4443
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ellisville State School Dental's NPI number?
- Ellisville State School Dental's National Provider Identifier (NPI) is 1013085414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellisville State School Dental?
- Ellisville State School Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Ellisville State School Dental located?
- Ellisville State School Dental's practice location on file with NPPES is 1101 Highway 11 S, Ellisville, MS 39437-4443.
- What is Ellisville State School Dental's phone number?
- The practice phone number listed in the NPPES registry for Ellisville State School Dental is (601) 477-9384.
- Who is the authorized official for Ellisville State School Dental?
- The authorized official listed on Ellisville State School Dental's NPPES record is Suzie Lassiter, Director of Facility. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellisville State School Dental's NPI active?
- Yes — Ellisville State School Dental's NPI (1013085414) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.