Organization · Type 2 NPI
Pediatric Dentistry, P.a.
Pediatric Dentistry · Jackson, MS
NPI number
1134414733
Active
Practice location
5315 Highway 18 W
Jackson, MS 39209-9421
Fax (601) 922-0077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 1865-80 (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.
2 other providers at this address
Other pediatric dentistry providers in Jackson
About NPI 1134414733
Pediatric Dentistry, P.a.'s National Provider Identifier is 1134414733, issued on Jun 13, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, MS. The record was last updated on Jun 13, 2011.