person
Eric L Hyde, DDSPLLC
Pediatric Dentist in Gulfport, Mississippi
NPI 1609888197

Eric L Hyde is a Pediatric Dentist based in Gulfport, MS and is specialized in Pediatric Dentistry. Eric L Hyde practices in Gulfport, MS and has the professional credentials of DDSPLLC. The NPI Number for Eric L Hyde is 1609888197 and holds a License No. 3330-05 (Mississippi).

The current practice location address for Eric L Hyde is 15236 Dedeaux Rd, Gulfport, MS and can be reached out via phone at 228-832-3111 and via fax at 228-832-3117. You can also correspond with Eric L Hyde through the mailing address at 15236 DEDEAUX RD, GULFPORT, MS - 39503-3161 (mailing address contact number: 228-832-3111).

Location: 15236 Dedeaux Rd, Gulfport, MS, 39503-3161
person
Provider Profile Details
NPI Number
1609888197
Provider Name
Eric L Hyde
Credential
DDSPLLC
Provider Entity Type
Individual
Gender
Male
Address
15236 Dedeaux Rd, Gulfport, MS, 39503-3161
Phone Number
228-832-3111
Fax Number
228-832-3117
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03781882 05 MS
04472876 01 MS MEDICAID GROUP NUMBER
510579833 01 MS TAX I.D. NUMBER
institution
Provider Business Practice Location Address Details
Address
15236 Dedeaux Rd
City
State
Zip
39503-3161
Phone Number
228-832-3111
Fax Number
228-832-3117
person
Provider Business Mailing Address Details
Address
15236 Dedeaux Rd
City
State
Zip
39503-3161
Phone Number
228-832-3111
Fax Number
228-832-3117
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3330-05 (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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