location
search-icon
person
Roderick L Coleman, DMD
Pediatric Dentist in Vicksburg, Mississippi
NPI 1033249867

Roderick L Coleman is a Pediatric Dentist based in Vicksburg, MS and is specialized in Pediatric Dentistry. Roderick L Coleman practices in Vicksburg, MS and has the professional credentials of DMD. The NPI Number for Roderick L Coleman is 1033249867 and holds a License No. 3153-00 (Mississippi).

The current practice location address for Roderick L Coleman is 120 Holt Collier Dr, Vicksburg, MS and can be reached out via phone at 601-619-4777 and via fax at 601-619-4667.

Location: 120 Holt Collier Dr, Vicksburg, MS, 39183-4408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033249867
Provider Name
Roderick L Coleman
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
120 Holt Collier Dr, Vicksburg, MS, 39183-4408
Phone Number
601-619-4777
Fax Number
601-619-4667
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00660349 05 MS
02988820 05 MS
institution
Provider Business Practice Location Address Details
Address
120 Holt Collier Dr
City
Vicksburg
State
Mississippi
Zip
39183-4408
Phone Number
601-619-4777
Fax Number
601-619-4667
person
Provider Business Mailing Address Details
Address
120 Holt Collier Dr
City
Vicksburg
State
Mississippi
Zip
39183-4408
Phone Number
601-619-4777
Fax Number
601-619-4667
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3153-00 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.