OrganizationActive
Fdc of Laurel LLC
NPI 1124599105 · General Practice Dentistry · Laurel, MS
Provider details
- NPI number
- 1124599105
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shelley Taylor, Owner/Dentist(601) 428-0082
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1532 W 15th St
Laurel, MS 39440-2102
Phone: (601) 428-0082
Street-level locationGet directions
Mailing address
Po Box 6505
Laurel, MS 39441-6505
Other names (DBA / former)
- Doing business as
- Family Dental Center of Laurel
Registry dates
- Enumerated
- 2018-12-17
- Last updated
- 2018-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.