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The Pediatric Dental Studio, Llc
Dental Clinic/Center in Pearl, Mississippi
NPI 1699197574

The Pediatric Dental Studio, Llc is a Dental Clinic/Center based in Florence, MS and is specialized in Dental. The Pediatric Dental Studio, Llc practices in Pearl, MS. The NPI Number for The Pediatric Dental Studio, Llc is 1699197574 and holds a License No. 3662-12 (Mississippi).

The current practice location address for The Pediatric Dental Studio, Llc is 110 Metroplex Blvd, Pearl, MS and can be reached out via phone at 601-941-6237.

Location: 110 Metroplex Blvd, Pearl, MS, 39073-9456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699197574
Provider Name
The Pediatric Dental Studio, Llc
Credential
Provider Entity Type
Organization
Address
110 Metroplex Blvd, Pearl, MS, 39073-9456
Phone Number
601-941-6237
Fax Number
Provider Enumeration Date
01/13/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
110 Metroplex Blvd
City
Pearl
State
Mississippi
Zip
39208-9210
Phone Number
601-941-6237
Fax Number
person
Provider Business Mailing Address Details
Address
110 Metroplex Blvd
City
Pearl
State
Mississippi
Zip
39208-9210
Phone Number
601-941-6237
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3662-12 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
3662-12 (Mississippi)
Definition
Definition to come...
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