OrganizationActive
Ellisville Family Dental Center PA
NPI 1033269840 · General Practice Dentistry · Ellisville, MS
Ellisville Family Dental Center PA is a General Practice Dentistry organization in Ellisville, MS (NPI 1033269840).
Provider details
- NPI number
- 1033269840
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stephen Surber, Owner(601) 477-3771
- License
- 2366-87 (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
401 Highway 11 S
Ellisville, MS 39437-3103
Phone: (601) 477-3771
Street-level locationGet directions
Mailing address
401 Highway 11 S
Ellisville, MS 39437-3103
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2016-08-31
Frequently asked questions
- What is Ellisville Family Dental Center PA's NPI number?
- Ellisville Family Dental Center PA's National Provider Identifier (NPI) is 1033269840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellisville Family Dental Center PA?
- Ellisville Family Dental Center PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ellisville Family Dental Center PA located?
- Ellisville Family Dental Center PA's practice location on file with NPPES is 401 Highway 11 S, Ellisville, MS 39437-3103.
- What is Ellisville Family Dental Center PA's phone number?
- The practice phone number listed in the NPPES registry for Ellisville Family Dental Center PA is (601) 477-3771.
- Who is the authorized official for Ellisville Family Dental Center PA?
- The authorized official listed on Ellisville Family Dental Center PA's NPPES record is Stephen Surber, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellisville Family Dental Center PA's NPI active?
- Yes — Ellisville Family Dental Center PA's NPI (1033269840) is active in the NPPES registry as of the last update on 2016-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.