institution
Pediatric Dental Group Of Hattiesburg, Pllc
Pediatric Dentist in Hattiesburg, Mississippi
NPI 1013210624

Pediatric Dental Group Of Hattiesburg, Pllc is a Pediatric Dentist based in Hattiesburg, MS and is specialized in Pediatric Dentistry. Pediatric Dental Group Of Hattiesburg, Pllc practices in Hattiesburg, MS. The NPI Number for Pediatric Dental Group Of Hattiesburg, Pllc is 1013210624 and holds a License No. 3394-06 (Mississippi).

The current practice location address for Pediatric Dental Group Of Hattiesburg, Pllc is 6643 Us Highway 98, Hattiesburg, MS and can be reached out via phone at 601-450-6060 and via fax at 601-450-6062.

Location: 6643 Us Highway 98, Hattiesburg, MS, 39402-8442
institution
Provider Profile Details
NPI Number
1013210624
Provider Name
Pediatric Dental Group Of Hattiesburg, Pllc
Credential
Provider Entity Type
Organization
Address
6643 Us Highway 98, Hattiesburg, MS, 39402-8442
Phone Number
601-450-6060
Fax Number
601-450-6062
Provider Enumeration Date
12/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6643 Us Highway 98
City
State
Zip
39402-8442
Phone Number
601-450-6060
Fax Number
601-450-6062
person
Provider Business Mailing Address Details
Address
6643 Us Highway 98
City
State
Zip
39402-8442
Phone Number
601-450-6060
Fax Number
601-450-6062
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3394-06 (Mississippi)
Definition
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.
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