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Meridian Pediatric Dental Group, Llc
Pediatric Dentist in Meridian, Mississippi
NPI 1356606511

Meridian Pediatric Dental Group, Llc is a Pediatric Dentist based in Meridian, MS and is specialized in Pediatric Dentistry. Meridian Pediatric Dental Group, Llc practices in Meridian, MS. The NPI Number for Meridian Pediatric Dental Group, Llc is 1356606511 and holds a License No. (Mississippi).

The current practice location address for Meridian Pediatric Dental Group, Llc is 1922 23Rd Ave, Meridian, MS and can be reached out via phone at 601-482-8986 and via fax at 601-482-6100.

Location: 1922 23Rd Ave, Meridian, MS, 39301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356606511
Provider Name
Meridian Pediatric Dental Group, Llc
Credential
Provider Entity Type
Organization
Address
1922 23Rd Ave, Meridian, MS, 39301
Phone Number
601-482-8986
Fax Number
601-482-6100
Provider Enumeration Date
07/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00060313 05 MS
01035561 01 MS SWE
institution
Provider Business Practice Location Address Details
Address
1922 23Rd Ave
City
Meridian
State
Mississippi
Zip
39301
Phone Number
601-482-8986
Fax Number
601-482-6100
person
Provider Business Mailing Address Details
Address
1922 23Rd Ave
City
Meridian
State
Mississippi
Zip
39301
Phone Number
601-482-8986
Fax Number
601-482-6100
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(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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