Organization · Type 2 NPI

Pediatric Dental Group of Hattiesburg, PLLC

Pediatric Dentistry · Hattiesburg, MS

NPI number 1013210624 Active

Practice location

6643 US Highway 98
Hattiesburg, MS 39402-8442

Call (601) 450-6060 Map

Fax (601) 450-6062

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X3394-06 (MS)
Pediatric Dentistry Primary 1223P0221X3044-98 (MS)

Pediatric Dentistry: 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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About NPI 1013210624

Pediatric Dental Group of Hattiesburg, PLLC's National Provider Identifier is 1013210624, issued on Dec 21, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hattiesburg, MS. The record was last updated on Dec 21, 2010.