Healthcare Provider Details

I. General information

NPI: 1972420149
Provider Name (Legal Business Name): FARRIS FAMILY DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ALABAMA ST
COLUMBUS MS
39702-5204
US

IV. Provider business mailing address

220 ALABAMA ST
COLUMBUS MS
39702-5204
US

V. Phone/Fax

Practice location:
  • Phone: 662-328-5197
  • Fax: 662-327-5174
Mailing address:
  • Phone: 662-328-5197
  • Fax: 662-327-5174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. C. CHANCE FARRIS
Title or Position: OWNER/DENTIST
Credential: DMD
Phone: 601-325-8242