PEDIATRIC DENTAL GROUP OF HATTIESBURG PLLC NPI 1013210624

NPI Information

NPI: 1013210624
Provider Name: PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6643 US HIGHWAY 98
HATTIESBURG, MS
ZIP 39402
Phone: (601) 450-6060
Get Directions

PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC 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. PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC NPI is 1013210624. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6643 US HIGHWAY 98
HATTIESBURG, MS
ZIP 39402-442
Phone: (601) 450-6060
Fax: (601) 450-6062

The provider's authorized official is Charles Lindsey Belknap .
The authorized official title is Dentist and has the following contact phone number (601) 450-6060.

The enumeration date for this NPI number is 12/21/2010 and was last updated on 12/21/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	3394-06	MISSISSIPPI	No
2	1223P0221X	Dentist	Pediatric Dentistry	3044-98	MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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