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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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

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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.