Organization · Type 2 NPI
Roderick L. Coleman, D.m.d., PA
Pediatric Dentistry · Vicksburg, MS
NPI number
1962686394
Active
Practice location
120 Holt Collier Dr, Suite D
Vicksburg, MS 39183-4408
Fax (601) 619-4667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 315300 (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
About NPI 1962686394
Roderick L. Coleman, D.m.d., PA's National Provider Identifier is 1962686394, issued on Dec 20, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Vicksburg, MS. The record was last updated on Dec 20, 2007.