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Dr. Mary Sobiesk , DMD

Dentist - General Practice β€’ Brandon, MS

Active NPI 1982599056 Individual Practitioner Female Practitioner
Practice location in NPPES

1075 Lake Village Cir
Brandon, MS 390476743

Call 6019921605 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1075 Lake Village Cir

Brandon, MS 390476743

Telephone 6019921605
Organization at the Same NPPES Address or Phone
Grants Ferry Family Dentistry Facility NPI 1265779052

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brandon and Mississippi

23 active clinicians are listed under Dentist - General Practice with a practice address in Brandon, MS (845 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brandon

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MS 111169

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Justin Dyre , DMD

Dentist - General Practice

NPI 1588926570

Doctor of Dental Medicine

Dr. Erin Green , DDS

Dentist - General Practice

NPI 1699113365

Doctor of Dental Surgery

NPI 1669810040

Doctor of Dental Surgery

Career & Practice History

NPI enumerated June 10, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2025 to August 2026.

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NPI Administrative Meta

NPI Number: 1982599056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2025
Last Update: June 10, 2025
Sole Proprietor: No

Other Dentist - General Practices in Brandon

All Dentist - General Practices in Brandon

Mailing Address

276 Woodstone Dr

Hattiesburg, MS 394027606

Phone: 6015435048

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.