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GULF COAST PEDIATRIC DENTISTRY PLLC
NPI 1194004994
Dentist - Pediatric Dentistry in Gulfport, MS

Active since August 10, 2011
15236 DEDEAUX RD, GULFPORT, MS 39503(228) 832-3111(228) 832-3117 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2021, Jul 29, 2021 (2 updates tracked since 2021).

About Gulf Coast Pediatric Dentistry Pllc NPPES

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

GULF COAST PEDIATRIC DENTISTRY PLLC (NPI 1194004994) is a healthcare organization registered as a pediatric dentistry in Gulfport, Mississippi and active in the NPI registry since August 2011. The organization lists Eric L. Hyde, Owner, as its authorized official.

NPPES Registry Identity

NPI1194004994
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGULF COAST PEDIATRIC DENTISTRY PLLC
Location Address15236 DEDEAUX RDGulfport, MS 39503-3161
Mailing Address15236 Dedeaux RdGulfport, MS 39503-3161 · (228) 832-3111 · Fax (228) 832-3117
Phone(228) 832-3111
Fax(228) 832-3117
Organization SubpartNo
Authorized OfficialEric L. HydeOwner · (228) 832-3111
Enumeration DateAugust 10, 2011
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1194004994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

15236 DEDEAUX RD, Gulfport, MS 39503
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

ERIC L HYDE DDS PLLC
Dentist (Pediatric Dentistry)
15236 DEDEAUX RD
GULFPORT, MS 39503
Harrison County (228) 832-3111
MAEGEN CALHOUN MCCABE DMD
Dentist (Pediatric Dentistry)
15236 DEDEAUX RD
GULFPORT, MS 39503
Harrison County (228) 832-3111

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 Gulf Coast Pediatric Dentistry PLLC's NPI number?

The NPI number for Gulf Coast Pediatric Dentistry PLLC is 1194004994. It was assigned to this organization in the NPPES registry on August 10, 2011.

Where is Gulf Coast Pediatric Dentistry PLLC located?

Gulf Coast Pediatric Dentistry PLLC is located at 15236 Dedeaux Rd, Gulfport, MS 39503. The listed phone number is (228) 832-3111.

What is Gulf Coast Pediatric Dentistry PLLC's specialty?

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

What insurance does Gulf Coast Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Gulf Coast Pediatric Dentistry PLLC 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 Gulf Coast Pediatric Dentistry PLLC was last updated on August 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.