LAUREL DENTAL PROPERTIES NPI 1669837910

NPI Information

  • NPI: 1669837910
  • Provider Name: LAUREL DENTAL PROPERTIES
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC DENTAL GROUP OF LAUREL
  • Address: 1925 PINE BELT DRIVE
    LAUREL, MS
    ZIP 39440
  • Phone: (601) 450-6060

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NPI Details

LAUREL DENTAL PROPERTIES is a pediatric dentistry dentist in Laurel, 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. LAUREL DENTAL PROPERTIES NPI is 1669837910. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dental Group Of Laurel.

The provider's business location address is:

1925 PINE BELT DRIVE
LAUREL, MS
ZIP 39440
Phone: (601) 450-6060

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

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

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
11223P0221XDentistPediatric Dentistry3044-98MISSISSIPPIYes

What is NPI?

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This page was last updated on: 11/21/2025

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