Pediatric Dentistry, P.a. - Jackson, MS

Pediatric Dentistry, P.a.

Pediatric Dentist in Jackson, Mississippi

NPI 1134414733

Pediatric Dentistry, P.a. is a Pediatric Dentist based in Jackson, MS and is specialized in Pediatric Dentistry. Pediatric Dentistry, P.a. practices in Jackson, MS. The NPI Number for Pediatric Dentistry, P.a. is 1134414733 and holds a License No. 1865-80 (Mississippi).

The current practice location address for Pediatric Dentistry, P.a. is 5315 Highway 18 W, Jackson, MS and can be reached out via phone at 601-922-0066 and via fax at 601-922-0077.

Location: 5315 Highway 18 W, Jackson, MS, 39209-9421

NPI Number

1134414733

Provider Name

Pediatric Dentistry, P.a.

Credential

Provider Entity Type

Organization

Address

5315 Highway 18 W, Jackson, MS, 39209-9421

Phone Number

601-922-0066

Fax Number

601-922-0077

Provider Enumeration Date

06/13/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
00064746	05	MS

Address

5315 Highway 18 W

City

Jackson

State

Mississippi

Zip

39209-9421

Phone Number

601-922-0066

Fax Number

601-922-0077

Address

5315 Highway 18 W

City

Jackson

State

Mississippi

Zip

39209-9421

Phone Number

601-922-0066

Fax Number

601-922-0077

Type

Dental Providers

Classification

Dentist

Speciality

Pediatric Dentistry

Taxonomy

1223P0221X

License No.

1865-80 (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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