institution
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. You can also correspond with Pediatric Dentistry, P.a. through the mailing address at 5315 HIGHWAY 18 W, JACKSON, MS - 39209-9421 (mailing address contact number: 601-922-0066).

Location: 5315 Highway 18 W, Jackson, MS, 39209-9421
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
00064746 05 MS
institution
Provider Business Practice Location Address Details
Address
5315 Highway 18 W
City
State
Zip
39209-9421
Phone Number
601-922-0066
Fax Number
601-922-0077
person
Provider Business Mailing Address Details
Address
5315 Highway 18 W
City
State
Zip
39209-9421
Phone Number
601-922-0066
Fax Number
601-922-0077
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
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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