OrganizationActive
Back Bay Family Dentistry
NPI 1316306988 · General Practice Dentistry · Diberville, MS
Back Bay Family Dentistry is a General Practice Dentistry organization in Diberville, MS (NPI 1316306988).
Provider details
- NPI number
- 1316306988
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeremy Parker, Owner(228) 392-0509
- License
- 3553-10 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
10409 Boney Ave
Diberville, MS 39540-4813
Phone: (228) 392-0509
Fax: (228) 392-8709
Street-level locationGet directions
Mailing address
10409 Boney Ave
Diberville, MS 39540-4813
Registry dates
- Enumerated
- 2016-02-11
- Last updated
- 2016-02-11
Frequently asked questions
- What is Back Bay Family Dentistry's NPI number?
- Back Bay Family Dentistry's National Provider Identifier (NPI) is 1316306988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back Bay Family Dentistry?
- Back Bay Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Back Bay Family Dentistry located?
- Back Bay Family Dentistry's practice location on file with NPPES is 10409 Boney Ave, Diberville, MS 39540-4813.
- What is Back Bay Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Back Bay Family Dentistry is (228) 392-0509.
- Who is the authorized official for Back Bay Family Dentistry?
- The authorized official listed on Back Bay Family Dentistry's NPPES record is Jeremy Parker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back Bay Family Dentistry's NPI active?
- Yes — Back Bay Family Dentistry's NPI (1316306988) is active in the NPPES registry as of the last update on 2016-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.