Booneville General Dentistry, P.a. is a Dental Clinic in Booneville, Mississippi. It is located at 507 E Church St, Booneville, MS and its contact number is 662-728-2123. The authorized person for Booneville General Dentistry, P.a. is Dr. Samuel Robert Hall
who is Pres of the clinic and their contact number is 662-728-2123. The primary license number for Booneville General Dentistry, P.a. is 3645 12 (General Practice) in Mississippi.
Booneville General Dentistry, P.a. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Booneville General Dentistry, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Booneville General Dentistry, P.a. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 507 E Church St, Booneville,
Mississippi, 38829-3709 |
| Phone: | 662-728-2123 |
| Fax: | 662-728-1748 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Samuel Robert Hall |
| Position: | Pres |
| Contact Number: | 662-728-2123 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Booneville General Dentistry, P.a. clinic are as mentioned below.
| NPI Number: | 1881073716 |
| NPI Enumeration Date: | 26 May, 2015 |
| NPI Last Update On: | 26 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Booneville General Dentistry, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 3645 12 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09234892 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Booneville General Dentistry, P.a.
507 E Church St,
Booneville, Mississippi |
| Zip: | 38829-3709 |
| Phone Number: | 662-728-2123 |
| Fax Number: | 662-728-1748 |
Patients can reach Booneville General Dentistry, P.a. at
507 E Church St, Booneville, Mississippi or can
call to book an appointment on 662-728-2123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.