Organization · Type 2 NPI

Laurel Dental Properties

Pediatric Dentistry · Laurel, MS

NPI number 1669837910 Active

Practice location

1925 Pine Belt Drive
Laurel, MS 39440

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	3044-98 (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.

NPI record

NPI: 1669837910
Entity type: Organization (Type 2)
Issued: Dec 30, 2015
Last updated: Dec 30, 2015
Status: Active
Subpart: Yes of Middleton & Belknap Pediatric Dentistry PLLC

Other names

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Pediatric Dental Group of Laurel · doing business as

Authorized official

Dr. Andrew Scott Middleton, DMD
Partner
(601) 450-6060

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669837910

Laurel Dental Properties's National Provider Identifier is 1669837910, issued on Dec 30, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Laurel, MS. The record was last updated on Dec 30, 2015.