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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. You can also correspond with Roderick L Coleman through the mailing address at 120 HOLT COLLIER DR, VICKSBURG, MS - 39183-4408 (mailing address contact number: 601-619-4777).

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
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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.
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