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Dr. Gordon Earl Fletcher, DDS
Pediatric Dentist in Hattiesburg, Mississippi
NPI 1255350369

Gordon Earl Fletcher is a Pediatric Dentist based in New Orleans, MS and is specialized in Pediatric Dentistry. Gordon Earl Fletcher practices in Hattiesburg, MS and has the professional credentials of DDS. The NPI Number for Gordon Earl Fletcher is 1255350369 and holds a License No. 3268-03 (Mississippi).

The current practice location address for Gordon Earl Fletcher is 1904 Hardy St, Hattiesburg, MS and can be reached out via phone at 601-583-2250 and via fax at 601-583-2272.

Location: 1904 Hardy St, Hattiesburg, MS, 70125-4603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255350369
Provider Name
Gordon Earl Fletcher
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1904 Hardy St, Hattiesburg, MS, 70125-4603
Phone Number
601-583-2250
Fax Number
601-583-2272
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1835153 05 LA
institution
Provider Business Practice Location Address Details
Address
1904 Hardy St
City
Hattiesburg
State
Mississippi
Zip
39401-4983
Phone Number
601-583-2250
Fax Number
601-583-2272
person
Provider Business Mailing Address Details
Address
1904 Hardy St
City
Hattiesburg
State
Mississippi
Zip
39401-4983
Phone Number
601-583-2250
Fax Number
601-583-2272
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3515 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3268-03 (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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