OrganizationActive
Autumn Ridge Dental Partnership
NPI 1275750531 · General Practice Dentistry · Kosciusko, MS
Autumn Ridge Dental Partnership is a General Practice Dentistry organization in Kosciusko, MS (NPI 1275750531).
Provider details
- NPI number
- 1275750531
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Donald Weaver, Partner(662) 289-7076
- License
- 1686-75 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
101 Ridgewood Cir
Kosciusko, MS 39090-3265
Phone: (662) 289-7076
Fax: (662) 289-7050
Street-level locationGet directions
Mailing address
101 Ridgewood Cir
Kosciusko, MS 39090-3265
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2011-01-03
Frequently asked questions
- What is Autumn Ridge Dental Partnership's NPI number?
- Autumn Ridge Dental Partnership's National Provider Identifier (NPI) is 1275750531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Autumn Ridge Dental Partnership?
- Autumn Ridge Dental Partnership is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Autumn Ridge Dental Partnership located?
- Autumn Ridge Dental Partnership's practice location on file with NPPES is 101 Ridgewood Cir, Kosciusko, MS 39090-3265.
- What is Autumn Ridge Dental Partnership's phone number?
- The practice phone number listed in the NPPES registry for Autumn Ridge Dental Partnership is (662) 289-7076.
- Who is the authorized official for Autumn Ridge Dental Partnership?
- The authorized official listed on Autumn Ridge Dental Partnership's NPPES record is Donald Weaver, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Autumn Ridge Dental Partnership's NPI active?
- Yes — Autumn Ridge Dental Partnership's NPI (1275750531) is active in the NPPES registry as of the last update on 2011-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.