OrganizationActive
Reservoir Smiles Dentistry, PLLC
NPI 1316458136 · Dental Clinic/Center · Brandon, MS
Provider details
- NPI number
- 1316458136
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Hall Family Dentistry
- Organization subpart
- Yes
- Authorized official
- Amye Shamburger, Owner(769) 798-3909
- License
- 3421 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1149 Old Fannin Rd Ste 26
Brandon, MS 39047-9244
Phone: (601) 992-7972
Fax: (601) 992-7975
Street-level locationGet directions
Mailing address
1149 Old Fannin Rd Ste 26
Brandon, MS 39047-9244
Registry dates
- Enumerated
- 2017-10-19
- Last updated
- 2017-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.