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DREW MIDDLETON DMD NPI 1740435668


NPI Information

NPI: 1740435668
Provider Name: DREW MIDDLETON, DMD
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
163 TURTLE CREEK DR
SUITE 80
HATTIESBURG, MS
ZIP 39402
Phone: (601) 450-6060
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DREW MIDDLETON, DMD is a pediatric dentistry dentist in Hattiesburg, MS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DREW MIDDLETON, DMD NPI is 1740435668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

163 TURTLE CREEK DR
SUITE 80
HATTIESBURG, MS
ZIP 39402-284
Phone: (601) 450-6060

The provider's authorized official is Drew Middleton .
The authorized official title is Provider and has the following contact phone number (601) 450-6060.

The enumeration date for this NPI number is 11/19/2008 and was last updated on 11/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry3044-98MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106181398MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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