Organization · Type 2 NPI
Gulf Coast Pediatric Dentistry PLLC
Pediatric Dentistry · Gulfport, MS
NPI number
1194004994
Active
Practice location
15236 Dedeaux Rd
Gulfport, MS 39503-3161
Fax (228) 832-3117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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 Gulfport
About NPI 1194004994
Gulf Coast Pediatric Dentistry PLLC's National Provider Identifier is 1194004994, issued on Aug 10, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gulfport, MS. The record was last updated on Aug 5, 2021.