Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Booneville General Dentistry, P.A.

General Practice Dentistry in Booneville, MS · enumerated 2015 · authorized official Samuel Hall, Pres.

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

National Provider Identifier

1881073716

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Registry record

Entity type Organization (Type 2)

Legal business name Booneville General Dentistry, P.A.

Practice address 507 E Church St, Booneville, MS, 38829

Phone (662) 728-2123

Fax (662) 728-1748

Enumeration date May 26, 2015

Last updated in NPPES May 26, 2015

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 3645 12 (MS) Primary

Authorized official

Name Samuel Hall

Title Pres

Phone (662) 728-2123

Other identifiers

Identifier	Type	State	Issuer
09234892	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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Booneville General Dentistry, P.A. located?

The practice location on file with NPPES is in Booneville, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-26. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Jeff Johnson General Practice Dentistry · Booneville, MS NPI 1174622807

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-26.