Pediatric Dental Group Of Hattiesburg | |
6643 U S Highway 98 Hattiesburg MS 39402-8442 | |
(601) 450-6060 | |
(601) 450-6062 |
Full Name | Pediatric Dental Group Of Hattiesburg |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 6643 U S Highway 98, Hattiesburg, Mississippi |
Authorized Official Name and Position | Tina Myers (OFFICE MANAGER) |
Authorized Official Contact | 6014506060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Dental Group Of Hattiesburg 6643 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 450-6060 | Pediatric Dental Group Of Hattiesburg 6643 U S Highway 98 Hattiesburg MS 39402-8442 Ph: (601) 450-6060 |
NPI Number | 1316216716 |
---|---|
Provider Enumeration Date | 12/14/2011 |
Last Update Date | 01/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316216716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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