Organization · Type 2 NPI
Pediatric Dentistry of Gluckstadt
Dental Clinic/Center · Gluckstadt, MS
NPI number
1821960683
Active
Practice location
154 Calhoun Station Pkwy Ste F
Gluckstadt, MS 39110-5544
Fax (769) 567-1620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1821960683
Pediatric Dentistry of Gluckstadt's National Provider Identifier is 1821960683, issued on Sep 22, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gluckstadt, MS. The record was last updated on Sep 22, 2025.