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RODERICK L COLEMAN D.M.D.
NPI 1033249867
Dentist - Pediatric Dentistry in Vicksburg, MS

Active since March 07, 2007
120 HOLT COLLIER DR, SUITE D, VICKSBURG, MS 39183(601) 619-4777(601) 619-4667 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roderick L Coleman D.m.d. NPPES

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

RODERICK L COLEMAN D.M.D. (NPI 1033249867) is an individual pediatric dentistry provider in Vicksburg, Mississippi, licensed in Mississippi (3153-00) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1033249867
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameRODERICK L COLEMANCredential: D.M.D.
Location Address120 HOLT COLLIER DR, SUITE DVicksburg, MS 39183-4408
Mailing Address120 Holt Collier Dr, Suite DVicksburg, MS 39183-4408 · (601) 619-4777 · Fax (601) 619-4667
Phone(601) 619-4777
Fax(601) 619-4667
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1033249867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MS · 3153-00
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.

120 HOLT COLLIER DR, Vicksburg, MS 39183
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Other Identifiers 2

Medicaid00660349MS
Medicaid02988820MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECIAL BEGINNINGS FOR WOMEN
Obstetrics & Gynecology
120 HOLT COLLIER DR, SUITE B
VICKSBURG, MS 39183
Warren County (601) 638-1340
RODERICK L. COLEMAN, D.M.D., PA
Dentist (Pediatric Dentistry)
120 HOLT COLLIER DR, SUITE D
VICKSBURG, MS 39183
Warren County (601) 619-4777

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 Roderick Coleman's NPI number?

The NPI number for Roderick Coleman is 1033249867. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Roderick Coleman located?

Roderick Coleman practices at 120 Holt Collier Dr Suite D, Vicksburg, MS 39183. The listed phone number is (601) 619-4777.

What is Roderick Coleman's specialty?

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

What insurance does Roderick Coleman accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 6 other insurers list Roderick Coleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roderick Coleman was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.