PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC - NPI 1013210624

Q: What is Pediatric Dental Group Of Hattiesburg, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

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About Pediatric Dental Group Of Hattiesburg, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC (NPI 1013210624) is a healthcare organization registered as a pediatric dentistry in Hattiesburg, Mississippi and active in the NPI registry since December 2010. The organization lists Charles Lindsey Belknap, Dentist, as its authorized official.

NPPES Registry Identity

NPI1013210624

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC DENTAL GROUP OF HATTIESBURG, PLLC

Location Address6643 US HIGHWAY 98Hattiesburg, MS 39402-8442

Mailing Address6643 Us Highway 98Hattiesburg, MS 39402-8442 · (601) 450-6060 · Fax (601) 450-6062

Phone(601) 450-6060

Fax(601) 450-6062

Organization SubpartNo

Authorized OfficialCharles Lindsey BelknapDentist · (601) 450-6060

Enumeration DateDecember 21, 2010

✔ NPI 1013210624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in MS · 3044-98✔ Licensed in MS · 3394-06

Definition

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.

6643 US HIGHWAY 98, Hattiesburg, MS 39402

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Group Of Hattiesburg, PLLC's NPI number?

The NPI number for Pediatric Dental Group Of Hattiesburg, PLLC is 1013210624. It was assigned to this organization in the NPPES registry on December 21, 2010.

Where is Pediatric Dental Group Of Hattiesburg, PLLC located?

Pediatric Dental Group Of Hattiesburg, PLLC is located at 6643 Us Highway 98, Hattiesburg, MS 39402. The listed phone number is (601) 450-6060.

What is Pediatric Dental Group Of Hattiesburg, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Group Of Hattiesburg, PLLC was last updated on December 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.