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Ellisville State School Dental

Dentist in Ellisville, MS · enumerated 2006 · authorized official Suzie Lassiter, Director of Facility.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013085414

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Registry record

Entity type Organization (Type 2)
Legal business name Ellisville State School Dental
Practice address 1101 Highway 11 S, Ellisville, MS, 39437
Phone (601) 477-9384
Fax (601) 477-5700
Enumeration date Dec 1, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

122300000X Dentist Dental Providers · License 09013809 (MS) Primary

Authorized official

Name Suzie Lassiter
Title Director of Facility
Phone (601) 477-9384

Other identifiers

Identifier Type State Issuer
09013809 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ellisville State School Dental?
The NPI for Ellisville State School Dental is 1013085414, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ellisville State School Dental?
NPPES lists Suzie Lassiter (Director of Facility) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.